| Deborah S Grove LMFT LLC | |
|
16 Rolling Ridge Ct Prospect CT 06712-1737 | |
| (203) 464-6460 | |
| Not Available |
| Full Name | Deborah S Grove LMFT LLC |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16 Rolling Ridge Ct, Prospect, Connecticut |
| Authorized Official Name and Position | Deborah Grove (OWNER) |
| Authorized Official Contact | 2034646460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah S Grove LMFT LLC 16 Rolling Ridge Ct Prospect CT 06712-1737 Ph: (203) 464-6460 | Deborah S Grove LMFT LLC 16 Rolling Ridge Ct Prospect CT 06712-1737 Ph: (203) 464-6460 |
| NPI Number | 1598528267 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 7810478930 |
|---|---|
| Medicare Enrollment ID | O20260226000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598528267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | () | Primary |
| Provider Name | Deborah S Grove |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952812356 PECOS PAC ID: 5092296111 Enrollment ID: I20260226000078 |
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