| Change Talk Llc | |
|
251 Essex Plaza Essex CT 06426 | |
| (860) 638-9169 | |
| (860) 469-2938 |
| Full Name | Change Talk Llc |
|---|---|
| Speciality | Counselor |
| Location | 251 Essex Plaza, Essex, Connecticut |
| Authorized Official Name and Position | Adam Joseph Russo (OWNER/CLINICIAN) |
| Authorized Official Contact | 8606389169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Talk Llc 251 Essex Plaza Essex CT 06426 Ph: (860) 638-9169 | Change Talk Llc 251 Essex Plaza Essex CT 06426 Ph: (860) 638-9169 |
| NPI Number | 1780122713 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780122713 | NPI | - | NPPES |
| 008071044 | Medicaid | CT |
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