| Bayside Counseling, Llc | |
|
1921 Boston Post Rd #207 Westbrook CT 06498-2171 | |
| (860) 399-9500 | |
| (888) 232-7553 |
| Full Name | Bayside Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1921 Boston Post Rd, Westbrook, Connecticut |
| Authorized Official Name and Position | Dena Marie Otrin (OWNER/MEMBER) |
| Authorized Official Contact | 8603999500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Counseling, Llc 1921 Boston Post Rd Ste 207 Po Box 47 Westbrook CT 06498-2171 Ph: (860) 399-9500 | Bayside Counseling, Llc 1921 Boston Post Rd #207 Westbrook CT 06498-2171 Ph: (860) 399-9500 |
| NPI Number | 1700021029 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 01/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700021029 | NPI | - | NPPES |
| 008013938 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001294 (Connecticut) | Primary |
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