| Interlocking Connections, Llc | |
|
707 Enfield St Enfield CT 06082-2903 | |
| (860) 745-7144 | |
| Not Available |
| Full Name | Interlocking Connections, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 707 Enfield St, Enfield, Connecticut |
| Authorized Official Name and Position | Krista Kulpa (DIRECTOR) |
| Authorized Official Contact | 8607457144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interlocking Connections, Llc 707 Enfield St Enfield CT 06082-2903 Ph: (860) 745-7144 | Interlocking Connections, Llc 707 Enfield St Enfield CT 06082-2903 Ph: (860) 745-7144 |
| NPI Number | 1336485812 |
|---|---|
| Provider Enumeration Date | 01/02/2013 |
| Last Update Date | 01/02/2013 |
| Medicare PECOS PAC ID | 2163964305 |
|---|---|
| Medicare Enrollment ID | O20240604001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336485812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001570 (Connecticut) | Primary |
| Provider Name | Carole A Hanlon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134368632 PECOS PAC ID: 1052712437 Enrollment ID: I20240604001530 |
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