| Bardwell Behavioral, Llc | |
|
90 Appletree Ln Portland CT 06480-1072 | |
| (860) 398-9118 | |
| (860) 740-4485 |
| Full Name | Bardwell Behavioral, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 90 Appletree Ln, Portland, Connecticut |
| Authorized Official Name and Position | Rebekah Alizah Doweyko (OWNER/FOUNDER) |
| Authorized Official Contact | 5615044373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bardwell Behavioral, Llc 5 Progress Dr Cromwell CT 06416-1035 Ph: () - | Bardwell Behavioral, Llc 90 Appletree Ln Portland CT 06480-1072 Ph: (860) 398-9118 |
| NPI Number | 1750275434 |
|---|---|
| Provider Enumeration Date | 06/05/2025 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750275434 | NPI | - | NPPES |
| 008111142 | Medicaid | CT | |
| 6713839 | Medicaid | VT |
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