| Alexis A.p. Munson, Lcsw, Llc | |
|
142 State St North Haven CT 06473-2207 | |
| (603) 767-0655 | |
| (203) 672-5920 |
| Full Name | Alexis A.p. Munson, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 142 State St, North Haven, Connecticut |
| Authorized Official Name and Position | Alexis Ap Munson (CLINICIAN/OWNER) |
| Authorized Official Contact | 6037670655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis A.p. Munson, Lcsw, Llc 171 Magee Dr Hamden CT 06514-1339 Ph: (603) 767-0655 | Alexis A.p. Munson, Lcsw, Llc 142 State St North Haven CT 06473-2207 Ph: (603) 767-0655 |
| NPI Number | 1255713590 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 06/23/2015 |
| Medicare PECOS PAC ID | 3274849336 |
|---|---|
| Medicare Enrollment ID | O20150903001699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255713590 | NPI | - | NPPES |
| 008043665 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 008130 (Connecticut) | Primary |
| Provider Name | Alexis A.p. Munson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780923979 PECOS PAC ID: 6406092550 Enrollment ID: I20130417000085 |
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