| Lotus Moon Counseling Centre | |
|
148 Route 2 Preston CT 06365-8520 | |
| (860) 859-3341 | |
| (860) 760-6666 |
| Full Name | Lotus Moon Counseling Centre |
|---|---|
| Speciality | Counselor - Professional |
| Location | 148 Route 2, Preston, Connecticut |
| Authorized Official Name and Position | Wendy St. George (OWNER/COUNSELOR) |
| Authorized Official Contact | 8608593341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Moon Counseling Centre 148 Route 2 Preston CT 06365-8520 Ph: (860) 859-3341 | Lotus Moon Counseling Centre 148 Route 2 Preston CT 06365-8520 Ph: (860) 859-3341 |
| NPI Number | 1366622144 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366622144 | NPI | - | NPPES |
| 004271144 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001496 (Connecticut) | Primary |
Summit Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 43 Swantown Rd, Preston, CT 06365 Phone: 860-917-5054 |