| Clark Counseling Services LLC | |
|
41 Mechanic St Ste 200 Windsor CT 06095-2545 | |
| (860) 920-4420 | |
| Not Available |
| Full Name | Clark Counseling Services LLC |
|---|---|
| Speciality | Counselor |
| Location | 41 Mechanic St Ste 200, Windsor, Connecticut |
| Authorized Official Name and Position | Matthew Clark (CEO) |
| Authorized Official Contact | 8609204418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Counseling Services LLC 41 Mechanic St Ste 200 Windsor CT 06095-2545 Ph: (860) 920-4420 | Clark Counseling Services LLC 41 Mechanic St Ste 200 Windsor CT 06095-2545 Ph: (860) 920-4420 |
| NPI Number | 1801332812 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 09/04/2026 |
| Certification Date | 09/04/2026 |
| Medicare PECOS PAC ID | 3971940032 |
|---|---|
| Medicare Enrollment ID | O20240325002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801332812 | NPI | - | NPPES |
| 1801332812 | Medicaid | CT |
| 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 |
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