| Change Counseling, Llc | |
|
750r Main St Willimantic CT 06226-2504 | |
| (860) 833-2657 | |
| Not Available |
| Full Name | Change Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 750r Main St, Willimantic, Connecticut |
| Authorized Official Name and Position | Madelyn Briggs (OWNER) |
| Authorized Official Contact | 8608332657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Counseling, Llc 261 Church St Willimantic CT 06226-2625 Ph: (860) 833-2657 | Change Counseling, Llc 750r Main St Willimantic CT 06226-2504 Ph: (860) 833-2657 |
| NPI Number | 1780141465 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 02/28/2019 |
| Medicare PECOS PAC ID | 9234564956 |
|---|---|
| Medicare Enrollment ID | O20200127000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780141465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gary A Palardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518397983 PECOS PAC ID: 5991933095 Enrollment ID: I20140117001200 |
| Provider Name | Madelyn Rosemary Straub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831567023 PECOS PAC ID: 3779855317 Enrollment ID: I20170817000383 |
| Provider Name | Jessica Baine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164890232 PECOS PAC ID: 6507104247 Enrollment ID: I20190305002284 |
| Provider Name | Rachel Hence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720012099 PECOS PAC ID: 9335489616 Enrollment ID: I20190325000114 |
| Provider Name | Melanie Grieco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104239581 PECOS PAC ID: 7517373608 Enrollment ID: I20210316001070 |
| Provider Name | Judith Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063755767 PECOS PAC ID: 8628513785 Enrollment ID: I20240712001675 |
| Provider Name | Cheryl L Jacques |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700939998 PECOS PAC ID: 6406392398 Enrollment ID: I20240727000398 |
| Provider Name | Summer Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235972019 PECOS PAC ID: 4385183888 Enrollment ID: I20241219001695 |
| Provider Name | Victoria Sousa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104487586 PECOS PAC ID: 7517494628 Enrollment ID: I20241231000100 |
United Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-2261 | |
River Valley Neuropsychology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Main St Ste 2e-10, Willimantic, CT 06226 Phone: 860-230-8851 Fax: 860-812-2317 | |
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Inner Discovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1185 Main St, Suite 2, Willimantic, CT 06226 Phone: 860-423-4279 Fax: 860-423-4284 | |
Lindsey Mckiernan, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Main St Ste 2e-1m, Willimantic, CT 06226 Phone: 860-929-2109 | |
Perception Programs Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 842 Main St, Willimantic, CT 06226 Phone: 860-450-7122 Fax: 860-450-7152 | |
Shannon Boivin, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Windham St, Willimantic, CT 06226 Phone: 860-327-5850 |