| Ever Upward Counseling, Llc | |
|
410 State St Rm 2 North Haven CT 06473-3149 | |
| (203) 651-9545 | |
| Not Available |
| Full Name | Ever Upward Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 410 State St Rm 2, North Haven, Connecticut |
| Authorized Official Name and Position | Katherine Mala (OWNER) |
| Authorized Official Contact | 2036519545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ever Upward Counseling, Llc 29 Woodruff St Southington CT 06489-3320 Ph: (203) 651-9545 | Ever Upward Counseling, Llc 410 State St Rm 2 North Haven CT 06473-3149 Ph: (203) 651-9545 |
| NPI Number | 1548728504 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Medicare PECOS PAC ID | 2163839374 |
|---|---|
| Medicare Enrollment ID | O20210405001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548728504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine M Mala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245633767 PECOS PAC ID: 6608142716 Enrollment ID: I20171017003015 |
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