| Apple Valley Behavioral Health Llc | |
|
791 S Main St Plantsville CT 06479-1519 | |
| (203) 631-5661 | |
| Not Available |
| Full Name | Apple Valley Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 791 S Main St, Plantsville, Connecticut |
| Authorized Official Name and Position | Joanne Etter (OWNER) |
| Authorized Official Contact | 2036315661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Valley Behavioral Health Llc 791 S Main St Plantsville CT 06479-1519 Ph: (203) 631-5661 | Apple Valley Behavioral Health Llc 791 S Main St Plantsville CT 06479-1519 Ph: (203) 631-5661 |
| NPI Number | 1568843456 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 05/30/2025 |
| Certification Date | 05/30/2025 |
| Medicare PECOS PAC ID | 5991122756 |
|---|---|
| Medicare Enrollment ID | O20200826000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568843456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002491 (Connecticut) | Primary |
| Provider Name | Bryan Habif |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427352897 PECOS PAC ID: 1850566969 Enrollment ID: I20111219000217 |
| Provider Name | Valerie A Dahlmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902196223 PECOS PAC ID: 3678817541 Enrollment ID: I20181204000489 |
| Provider Name | Brandy Michelle Kennerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912545203 PECOS PAC ID: 7214362631 Enrollment ID: I20200113002220 |
| Provider Name | Carly Gambardella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447726120 PECOS PAC ID: 6901202688 Enrollment ID: I20210903000709 |
| Provider Name | Shelbi Siarkowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194308585 PECOS PAC ID: 7315398138 Enrollment ID: I20240105002556 |
| Provider Name | Evan Alden Leclair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841772324 PECOS PAC ID: 9234572249 Enrollment ID: I20240207000548 |
| Provider Name | Susan Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548597172 PECOS PAC ID: 8325483530 Enrollment ID: I20240228000096 |
| Provider Name | Suzanne C Andreyev |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760832299 PECOS PAC ID: 9234575184 Enrollment ID: I20240313003367 |
| Provider Name | Joanne Etter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467831859 PECOS PAC ID: 1951728724 Enrollment ID: I20240716001854 |
| Provider Name | Ashley Favreau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992248306 PECOS PAC ID: 1951833052 Enrollment ID: I20241014004794 |
| Provider Name | Leslie M. Hauge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598462772 PECOS PAC ID: 9830622869 Enrollment ID: I20241030001028 |
| Provider Name | Morgan Mcgaughey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497414593 PECOS PAC ID: 2961936356 Enrollment ID: I20241107001747 |
| Provider Name | Timothy J Dowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649506031 PECOS PAC ID: 0143647917 Enrollment ID: I20241122001278 |
| Provider Name | Marcie L Danton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942772918 PECOS PAC ID: 6103351127 Enrollment ID: I20241127000469 |
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True Self Counseling & Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Main St Ste 5, Plantsville, CT 06479 Phone: 203-695-3871 | |
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Bright Futures Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 S Main St, Plantsville, CT 06479 Phone: 860-853-8494 | |
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