| Coastal Counseling Llc | |
|
1041 Poquonnock Rd Groton CT 06340-2201 | |
| (860) 405-0005 | |
| Not Available |
| Full Name | Coastal Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1041 Poquonnock Rd, Groton, Connecticut |
| Authorized Official Name and Position | Jennifer Spreng (OWNER) |
| Authorized Official Contact | 8604050005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Counseling Llc 1041 Poquonnock Rd Groton CT 06340-2201 Ph: () - | Coastal Counseling Llc 1041 Poquonnock Rd Groton CT 06340-2201 Ph: (860) 405-0005 |
| NPI Number | 1699443168 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Medicare PECOS PAC ID | 7113462862 |
|---|---|
| Medicare Enrollment ID | O20240717002906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699443168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Spreng |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336214329 PECOS PAC ID: 8022553775 Enrollment ID: I20240717003136 |
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