| Clark Counseling Services Llc | |
|
360 Bloomfield Ave Suite 301 Windsor CT 06095-2700 | |
| (860) 607-3235 | |
| (860) 607-3201 |
| Full Name | Clark Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 360 Bloomfield Ave, Windsor, Connecticut |
| Authorized Official Name and Position | Matthew Clark (OWNER / PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8606073235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Counseling Services Llc 360 Bloomfield Ave Suite 301 Windsor CT 06095-2700 Ph: (860) 607-3235 | Clark Counseling Services Llc 360 Bloomfield Ave Suite 301 Windsor CT 06095-2700 Ph: (860) 607-3235 |
| NPI Number | 1801332812 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 01/13/2017 |
| Medicare PECOS PAC ID | 3971940032 |
|---|---|
| Medicare Enrollment ID | O20240325002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801332812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002674 (Connecticut) | Primary |
| Provider Name | Matthew Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417353996 PECOS PAC ID: 4880031947 Enrollment ID: I20240325002708 |
| Provider Name | David Ernst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710596747 PECOS PAC ID: 8426598426 Enrollment ID: I20240905000543 |
Hope And Healing Counseling Ct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Bloomfield Ave Ste 301, Windsor, CT 06095 Phone: 201-665-3066 Fax: 973-200-8137 | |
Step With Purpose Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Seymour St, Windsor, CT 06095 Phone: 860-761-5594 | |
Creative Interventions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Bloomfield Ave, Windsor, CT 06095 Phone: 860-413-9538 Fax: 860-838-4241 | |
Mental Health Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Poquonock Ave, Windsor, CT 06095 Phone: 860-966-2341 Fax: 860-285-8744 | |
Soebrown Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Poquonock Ave, Windsor, CT 06095 Phone: 860-752-5669 | |
Re-envisioned Life Clinical Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Windsor Ave Fl 1, Windsor, CT 06095 Phone: 860-816-2311 | |
2nd Chances Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Maple Ave Ste B-2, Windsor, CT 06095 Phone: 860-386-8024 Fax: 800-989-4601 |