| Embrace Your Path, Llc | |
|
4270 Main St Bridgeport CT 06606-2306 | |
| (203) 301-8852 | |
| (203) 301-8852 |
| Full Name | Embrace Your Path, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4270 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Deborah Shillingford (OWNER/MANAGER) |
| Authorized Official Contact | 2035209910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Your Path, Llc 39 Cogswell St Bridgeport CT 06610-1913 Ph: (203) 520-9910 | Embrace Your Path, Llc 4270 Main St Bridgeport CT 06606-2306 Ph: (203) 301-8852 |
| NPI Number | 1033624614 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 12/05/2017 |
| Medicare PECOS PAC ID | 5193086205 |
|---|---|
| Medicare Enrollment ID | O20180307000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033624614 | NPI | - | NPPES |
| 1497977375 | Other | CT | BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007937 (Connecticut) | Primary |
| Provider Name | Deborah Shillingford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497977375 PECOS PAC ID: 2769743855 Enrollment ID: I20180306002853 |
The Child And Family Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 203-394-6529 | |
Nova Vita Health Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 Main St, Bridgeport, CT 06606 Phone: 203-870-1616 Fax: 203-870-1615 | |
South- West Community Health Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1046 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-330-6000 Fax: 203-331-4716 | |
Northeast Medical Group, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Avenue, 3rd Flr, Bridgeport, CT 06610 Phone: 203-384-3975 Fax: 203-384-3829 | |
Eprine Community Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Barnum Ave Ste 202, Bridgeport, CT 06610 Phone: 718-255-5946 | |
Muck Mudd Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 955 Connecticut Ave Ste 5202, Bridgeport, CT 06607 Phone: 203-440-5170 |