| A Daring Voyage, Llc | |
|
90 S Park St Ste 30 Willimantic CT 06226-3336 | |
| (617) 594-1327 | |
| Not Available |
| Full Name | A Daring Voyage, Llc |
|---|---|
| Speciality | Counselor |
| Location | 90 S Park St Ste 30, Willimantic, Connecticut |
| Authorized Official Name and Position | Laura Desantis (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6175941327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Daring Voyage, Llc 90 S Park St Ste 30 Willimantic CT 06226-3336 Ph: (617) 594-1327 | A Daring Voyage, Llc 90 S Park St Ste 30 Willimantic CT 06226-3336 Ph: (617) 594-1327 |
| NPI Number | 1881195816 |
|---|---|
| Provider Enumeration Date | 02/25/2018 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 1759813108 |
|---|---|
| Medicare Enrollment ID | O20241010001735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881195816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Laura Desantis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861768772 PECOS PAC ID: 2668904012 Enrollment ID: I20241010001933 |
United Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-2261 | |
River Valley Neuropsychology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Main St Ste 2e-10, Willimantic, CT 06226 Phone: 860-230-8851 Fax: 860-812-2317 | |
Center For Mental Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Storrs Rd Ste B1011, Willimantic, CT 06226 Phone: 856-818-3966 | |
Inner Discovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1185 Main St, Suite 2, Willimantic, CT 06226 Phone: 860-423-4279 Fax: 860-423-4284 | |
Lindsey Mckiernan, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Main St Ste 2e-1m, Willimantic, CT 06226 Phone: 860-929-2109 | |
Perception Programs Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 842 Main St, Willimantic, CT 06226 Phone: 860-450-7122 Fax: 860-450-7152 | |
Shannon Boivin, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Windham St, Willimantic, CT 06226 Phone: 860-327-5850 |