| Changing Ways Counseling, Llc | |
|
2900 Main St Ste 3df Stratford CT 06614-4946 | |
| (203) 321-3238 | |
| (203) 307-0821 |
| Full Name | Changing Ways Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 Main St Ste 3df, Stratford, Connecticut |
| Authorized Official Name and Position | Brooke Corinne Vargas (CLINICIAN/MANAGING MEMBER) |
| Authorized Official Contact | 2033213238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Ways Counseling, Llc 2900 Main St Ste 3df Stratford CT 06614-4946 Ph: (203) 321-3238 | Changing Ways Counseling, Llc 2900 Main St Ste 3df Stratford CT 06614-4946 Ph: (203) 321-3238 |
| NPI Number | 1679177562 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 4284048943 |
|---|---|
| Medicare Enrollment ID | O20210121000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679177562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Brooke Corrine Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851626584 PECOS PAC ID: 1951679786 Enrollment ID: I20170619002510 |
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