| Guiding Light Counseling Associates | |
|
530 Middlebury Rd Ste 201a Middlebury CT 06762-2546 | |
| (203) 509-5510 | |
| Not Available |
| Full Name | Guiding Light Counseling Associates |
|---|---|
| Speciality | Counselor |
| Location | 530 Middlebury Rd Ste 201a, Middlebury, Connecticut |
| Authorized Official Name and Position | Stacy G. Nichols (OWNER) |
| Authorized Official Contact | 2035095510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Counseling Associates 530 Middlebury Rd # Stw201a Middlebury CT 06762-2500 Ph: () - | Guiding Light Counseling Associates 530 Middlebury Rd Ste 201a Middlebury CT 06762-2546 Ph: (203) 509-5510 |
| NPI Number | 1306699244 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 2062949472 |
|---|---|
| Medicare Enrollment ID | O20241226000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306699244 | NPI | - | NPPES |
| Provider Name | Stacy Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417409053 PECOS PAC ID: 9032562434 Enrollment ID: I20240201003085 |
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