| Personal Healing Clinical Services Llc | |
|
36 Main St Unit 8 East Haven CT 06512-2524 | |
| (860) 989-9504 | |
| (203) 672-1813 |
| Full Name | Personal Healing Clinical Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 36 Main St Unit 8, East Haven, Connecticut |
| Authorized Official Name and Position | Laura J Trigila (OWNER) |
| Authorized Official Contact | 8609899504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Healing Clinical Services Llc 38 Woodhaven Rd Rocky Hill CT 06067-1045 Ph: (860) 989-9504 | Personal Healing Clinical Services Llc 36 Main St Unit 8 East Haven CT 06512-2524 Ph: (860) 989-9504 |
| NPI Number | 1033562608 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 5597046193 |
|---|---|
| Medicare Enrollment ID | O20161219001854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033562608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007408 (Connecticut) | Primary |
| Provider Name | Laura J Trigila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285883082 PECOS PAC ID: 8325222631 Enrollment ID: I20110412000180 |
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