| Journey To Wellness Counseling, Llc | |
|
126 Hodder Dr Hamden CT 06514-3310 | |
| (203) 415-5162 | |
| Not Available |
| Full Name | Journey To Wellness Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 126 Hodder Dr, Hamden, Connecticut |
| Authorized Official Name and Position | Andrea-lynne Decrosta (OWNER/LCSW) |
| Authorized Official Contact | 2034155162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To Wellness Counseling, Llc 126 Hodder Dr Hamden CT 06514-3310 Ph: (203) 415-5162 | Journey To Wellness Counseling, Llc 126 Hodder Dr Hamden CT 06514-3310 Ph: (203) 415-5162 |
| NPI Number | 1457968091 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Medicare PECOS PAC ID | 1658786942 |
|---|---|
| Medicare Enrollment ID | O20210218002202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457968091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea-lynne Decrosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992217491 PECOS PAC ID: 2163785254 Enrollment ID: I20180425000415 |
| Provider Name | Madeline Torres-baird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891371282 PECOS PAC ID: 9739596859 Enrollment ID: I20210407001286 |
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