| Northern Valley Counseling Center, Llc | |
|
20 Frankie Ln Terryville CT 06786-7024 | |
| (203) 441-5746 | |
| Not Available |
| Full Name | Northern Valley Counseling Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Frankie Ln, Terryville, Connecticut |
| Authorized Official Name and Position | Shoshannah Elizabeth Ryff (MANAGER) |
| Authorized Official Contact | 2034511066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Valley Counseling Center, Llc 20 Frankie Ln Terryville CT 06786-7024 Ph: (203) 441-5746 | Northern Valley Counseling Center, Llc 20 Frankie Ln Terryville CT 06786-7024 Ph: (203) 441-5746 |
| NPI Number | 1679331649 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Medicare PECOS PAC ID | 2961922125 |
|---|---|
| Medicare Enrollment ID | O20250219000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679331649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shoshannah Elizabeth Ryff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578931838 PECOS PAC ID: 3870013030 Enrollment ID: I20250219001163 |
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