| Honest Intentions Therapy Llc | |
|
554 Liberty Hwy Putnam CT 06260-2728 | |
| (860) 412-4598 | |
| Not Available |
| Full Name | Honest Intentions Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 554 Liberty Hwy, Putnam, Connecticut |
| Authorized Official Name and Position | Jessica Anne Collelo-bibeau (OWNER) |
| Authorized Official Contact | 8604124598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Honest Intentions Therapy Llc Po Box 541 Brooklyn CT 06234-0541 Ph: (860) 412-4598 | Honest Intentions Therapy Llc 554 Liberty Hwy Putnam CT 06260-2728 Ph: (860) 412-4598 |
| NPI Number | 1518663376 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 02/03/2023 |
| Certification Date | 02/03/2023 |
| Medicare PECOS PAC ID | 8426423468 |
|---|---|
| Medicare Enrollment ID | O20230405001817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518663376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Collelo-bibeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043789142 PECOS PAC ID: 7810378361 Enrollment ID: I20220802003640 |
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