| Ann M. Pacheco Lmft, Llc | |
|
2 Mansfield Hollow Rd Mansfield Center CT 06250-1314 | |
| (860) 423-0877 | |
| Not Available |
| Full Name | Ann M. Pacheco Lmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2 Mansfield Hollow Rd, Mansfield Center, Connecticut |
| Authorized Official Name and Position | Ann M. Pacheco (OWNER) |
| Authorized Official Contact | 8604230877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann M. Pacheco Lmft, Llc 2 Mansfield Hollow Rd Mansfield Center CT 06250-1314 Ph: (860) 423-0877 | Ann M. Pacheco Lmft, Llc 2 Mansfield Hollow Rd Mansfield Center CT 06250-1314 Ph: (860) 423-0877 |
| NPI Number | 1033659362 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 5294176491 |
|---|---|
| Medicare Enrollment ID | O20240517002208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033659362 | NPI | - | NPPES |
| 00402008CT | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0000531CT (Connecticut) | Primary |
| Provider Name | Ann Marie Pacheco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790907640 PECOS PAC ID: 4284075482 Enrollment ID: I20240627002761 |
Mary Kinsella-shaw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Warrenville Rd, Mansfield Center, CT 06250 Phone: 860-450-1173 | |
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