| Ambitions Counseling Services, Llc | |
|
45 Fair St Wallingford CT 06492-4208 | |
| (203) 565-5403 | |
| Not Available |
| Full Name | Ambitions Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 45 Fair St, Wallingford, Connecticut |
| Authorized Official Name and Position | Chelsea Rodriguez (OWNER/PARTNER) |
| Authorized Official Contact | 2035655403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambitions Counseling Services, Llc 326 Deerfield Dr Berlin CT 06037-3055 Ph: (203) 565-5403 | Ambitions Counseling Services, Llc 45 Fair St Wallingford CT 06492-4208 Ph: (203) 565-5403 |
| NPI Number | 1124808878 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/01/2023 |
| Medicare PECOS PAC ID | 7416494489 |
|---|---|
| Medicare Enrollment ID | O20240808000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124808878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Chelsea Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679287171 PECOS PAC ID: 8325585391 Enrollment ID: I20240808003880 |
| Provider Name | Helene Ruth Morneau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073355764 PECOS PAC ID: 6002341500 Enrollment ID: I20241120003441 |
| Provider Name | Rebecca Ann Pierce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518736735 PECOS PAC ID: 8820519036 Enrollment ID: I20250304003059 |
| Provider Name | Bethany Marie Ty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881409522 PECOS PAC ID: 6709304371 Enrollment ID: I20250516002989 |
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Paul V. Parente, Msw, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Mapleview Rd, Wallingford, CT 06492 Phone: 203-996-6732 | |
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