| D Light Within Counseling Services, Llc | |
|
88 Brookline Dr East Hartford CT 06108-2914 | |
| (860) 680-0748 | |
| Not Available |
| Full Name | D Light Within Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 88 Brookline Dr, East Hartford, Connecticut |
| Authorized Official Name and Position | Vanessa J Flores (OWNER/PROVIDER) |
| Authorized Official Contact | 8606800748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D Light Within Counseling Services, Llc 88 Brookline Dr East Hartford CT 06108-2914 Ph: (860) 680-0748 | D Light Within Counseling Services, Llc 88 Brookline Dr East Hartford CT 06108-2914 Ph: (860) 680-0748 |
| NPI Number | 1770383135 |
|---|---|
| Provider Enumeration Date | 03/15/2025 |
| Last Update Date | 03/15/2025 |
| Certification Date | 03/15/2025 |
| Medicare PECOS PAC ID | 7719400720 |
|---|---|
| Medicare Enrollment ID | O20250401000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770383135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Vanessa J Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154814812 PECOS PAC ID: 5395287668 Enrollment ID: I20240603002164 |
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