| Path To Renewal Therapy Services Llc | |
|
52 Fowler Ln East Hartford CT 06118-3025 | |
| (860) 281-2461 | |
| Not Available |
| Full Name | Path To Renewal Therapy Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 52 Fowler Ln, East Hartford, Connecticut |
| Authorized Official Name and Position | William Seals (OWNER) |
| Authorized Official Contact | 8608417189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Renewal Therapy Services Llc 52 Fowler Ln East Hartford CT 06118-3025 Ph: (860) 281-2461 | Path To Renewal Therapy Services Llc 52 Fowler Ln East Hartford CT 06118-3025 Ph: (860) 281-2461 |
| NPI Number | 1063224087 |
|---|---|
| Provider Enumeration Date | 01/25/2025 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Medicare PECOS PAC ID | 7315462991 |
|---|---|
| Medicare Enrollment ID | O20250416000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063224087 | NPI | - | NPPES |
| Provider Name | William Charles Seals |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003653551 PECOS PAC ID: 8628515053 Enrollment ID: I20240802003712 |
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