| Patrick M. Keenan, Pllc | |
|
115 Main St Ste 10 Seymour CT 06483-3138 | |
| (203) 828-8602 | |
| (833) 216-0470 |
| Full Name | Patrick M. Keenan, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 115 Main St Ste 10, Seymour, Connecticut |
| Authorized Official Name and Position | Patrick Michael Keenan (OWNER/CLINICIAN) |
| Authorized Official Contact | 2038288602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick M. Keenan, Pllc 115 Main St Ste 10 Seymour CT 06483-3138 Ph: (203) 828-8602 | Patrick M. Keenan, Pllc 115 Main St Ste 10 Seymour CT 06483-3138 Ph: (203) 828-8602 |
| NPI Number | 1124581178 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 01/20/2025 |
| Certification Date | 01/20/2025 |
| Medicare PECOS PAC ID | 7517497720 |
|---|---|
| Medicare Enrollment ID | O20250203003129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124581178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Patrick Keenan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053746784 PECOS PAC ID: 0143750356 Enrollment ID: I20250203003206 |
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