| Michael Luongo, Lpc, Llc | |
|
267 Willimantic Rd Ste 3 Chaplin CT 06235-2532 | |
| (860) 455-9812 | |
| (860) 859-9492 |
| Full Name | Michael Luongo, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 267 Willimantic Rd Ste 3, Chaplin, Connecticut |
| Authorized Official Name and Position | Michael Louis Luongo (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8604559812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Luongo, Lpc, Llc 267 Willimantic Rd Ste 3 Chaplin CT 06235-2532 Ph: (860) 455-9812 | Michael Luongo, Lpc, Llc 267 Willimantic Rd Ste 3 Chaplin CT 06235-2532 Ph: (860) 455-9812 |
| NPI Number | 1720321482 |
|---|---|
| Provider Enumeration Date | 04/01/2013 |
| Last Update Date | 04/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720321482 | NPI | - | NPPES |
| 008001794 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001182 (Connecticut) | Primary |
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