| Compassionate Counseling And Culinary Arts Therapy Llc | |
|
15 Cassway Rd Woodbridge CT 06525-1214 | |
| (516) 528-3831 | |
| Not Available |
| Full Name | Compassionate Counseling And Culinary Arts Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Cassway Rd, Woodbridge, Connecticut |
| Authorized Official Name and Position | Stephanie Audra Jacobson (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5165283831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Counseling And Culinary Arts Therapy Llc 15 Cassway Rd Woodbridge CT 06525-1214 Ph: (516) 528-3831 | Compassionate Counseling And Culinary Arts Therapy Llc 15 Cassway Rd Woodbridge CT 06525-1214 Ph: (516) 528-3831 |
| NPI Number | 1790425387 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Medicare PECOS PAC ID | 3779961578 |
|---|---|
| Medicare Enrollment ID | O20220607002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790425387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stephanie A Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558546093 PECOS PAC ID: 6103204904 Enrollment ID: I20220607002824 |
Breakthrough Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Hazel Ter Ste 20, Woodbridge, CT 06525 Phone: 203-543-6406 | |
A Fresh Start Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Hazel Ter Ste K, Woodbridge, CT 06525 Phone: 203-572-1236 | |
My Father My Son Rehabilitation And Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 Amity Rd Ste 104, Woodbridge, CT 06525 Phone: 203-747-8689 Fax: 203-745-0493 | |
Kaydian Harrison Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30 Hazel Ter Ste A, Woodbridge, CT 06525 Phone: 203-836-0766 | |
Vision Of Hope Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30 Hazel Ter Ste 20, Woodbridge, CT 06525 Phone: 203-996-0306 | |
Connecticut Psychiatric & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bradley Rd, 404, Woodbridge, CT 06525 Phone: 203-298-9005 | |
Harvey L. Ruben,md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Amity Rd, 130, Woodbridge, CT 06525 Phone: 203-397-0064 Fax: 203-397-3537 |