| I Witness Counseling Llc | |
|
112 Spencer St Ste 2 Manchester CT 06040-4601 | |
| (203) 441-3132 | |
| (203) 324-0420 |
| Full Name | I Witness Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 112 Spencer St Ste 2, Manchester, Connecticut |
| Authorized Official Name and Position | Viola Borden (OWNER/ LPC, LMHC) |
| Authorized Official Contact | 4132522400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I Witness Counseling Llc 1313 Woodgate Cir Enfield CT 06082-5591 Ph: (860) 858-1288 | I Witness Counseling Llc 112 Spencer St Ste 2 Manchester CT 06040-4601 Ph: (203) 441-3132 |
| NPI Number | 1346018553 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Medicare PECOS PAC ID | 0244762946 |
|---|---|
| Medicare Enrollment ID | O20241018003609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346018553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Viola Borden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487133435 PECOS PAC ID: 1153853858 Enrollment ID: I20241018003643 |
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