| Ashley Monck Lcsw Llc | |
|
30 Deepwood Dr Bethel CT 06801-1267 | |
| (203) 302-9378 | |
| Not Available |
| Full Name | Ashley Monck Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 30 Deepwood Dr, Bethel, Connecticut |
| Authorized Official Name and Position | Ashley Bruckenthal (SOCIAL WORKER) |
| Authorized Official Contact | 2033029378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Monck Lcsw Llc 54 Danbury Rd Ste 337 Ridgefield CT 06877-4019 Ph: (203) 302-9378 | Ashley Monck Lcsw Llc 30 Deepwood Dr Bethel CT 06801-1267 Ph: (203) 302-9378 |
| NPI Number | 1104402148 |
|---|---|
| Provider Enumeration Date | 03/21/2021 |
| Last Update Date | 09/02/2022 |
| Certification Date | 09/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104402148 | NPI | - | NPPES |
| 1295281178 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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