| Courageous Healing Llc | |
|
353 Central Ave New Haven CT 06515-2207 | |
| (203) 980-1195 | |
| Not Available |
| Full Name | Courageous Healing Llc |
|---|---|
| Speciality | Social Worker |
| Location | 353 Central Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Grace Kindilien Moskowitz (CEO) |
| Authorized Official Contact | 2039801195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous Healing Llc 353 Central Ave New Haven CT 06515-2207 Ph: (203) 980-1195 | Courageous Healing Llc 353 Central Ave New Haven CT 06515-2207 Ph: (203) 980-1195 |
| NPI Number | 1053985333 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Medicare PECOS PAC ID | 6305240003 |
|---|---|
| Medicare Enrollment ID | O20210803000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053985333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Grace Kindilien Moskowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265985725 PECOS PAC ID: 7315283157 Enrollment ID: I20190115002386 |
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