| Awaken The Power Therapy, Llc | |
|
57 Plains Rd Unit 1c Milford CT 06461-2573 | |
| (203) 693-1050 | |
| (203) 306-3388 |
| Full Name | Awaken The Power Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 57 Plains Rd Unit 1c, Milford, Connecticut |
| Authorized Official Name and Position | Monique E West (DIRECTOR) |
| Authorized Official Contact | 2036931050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken The Power Therapy, Llc 57 Plains Rd Unit 1c Milford CT 06461-2573 Ph: (203) 693-1050 | Awaken The Power Therapy, Llc 57 Plains Rd Unit 1c Milford CT 06461-2573 Ph: (203) 693-1050 |
| NPI Number | 1194129239 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Medicare PECOS PAC ID | 4688975337 |
|---|---|
| Medicare Enrollment ID | O20151222001556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194129239 | NPI | - | NPPES |
| Provider Name | Monique E West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730377383 PECOS PAC ID: 3678791191 Enrollment ID: I20151222001828 |
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