| Community Counseling Partnerships Llc | |
|
340 Broadway Providence RI 02909-1102 | |
| (401) 714-7440 | |
| Not Available |
| Full Name | Community Counseling Partnerships Llc |
|---|---|
| Speciality | Psychologist |
| Location | 340 Broadway, Providence, Rhode Island |
| Authorized Official Name and Position | Michael Eltz (CO-OWNER) |
| Authorized Official Contact | 4017147440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Partnerships Llc 340 Broadway Providence RI 02909-1102 Ph: () - | Community Counseling Partnerships Llc 340 Broadway Providence RI 02909-1102 Ph: (401) 714-7440 |
| NPI Number | 1760201628 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 3870023369 |
|---|---|
| Medicare Enrollment ID | O20250213000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760201628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael J Eltz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639131360 PECOS PAC ID: 2365524758 Enrollment ID: I20080123000915 |
| Provider Name | Megan C Sanderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962458604 PECOS PAC ID: 9032639372 Enrollment ID: I20250218000570 |
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