| Positive Directions - The Center For Prevention And Counseling Inc | |
|
90 Post Rd W Westport CT 06880-4208 | |
| (203) 227-7644 | |
| (203) 227-0037 |
| Full Name | Positive Directions - The Center For Prevention And Counseling Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 90 Post Rd W, Westport, Connecticut |
| Authorized Official Name and Position | Jennifer Hrbek (DIRECTOR) |
| Authorized Official Contact | 2032277644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Directions - The Center For Prevention And Counseling Inc 90 Post Rd W Westport CT 06880-4208 Ph: (203) 227-7644 | Positive Directions - The Center For Prevention And Counseling Inc 90 Post Rd W Westport CT 06880-4208 Ph: (203) 227-7644 |
| NPI Number | 1043455066 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 10/31/2018 |
| Medicare PECOS PAC ID | 6406109800 |
|---|---|
| Medicare Enrollment ID | O20181101001956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043455066 | NPI | - | NPPES |
| 004263282 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OPCC-46 (Connecticut) | Primary |
| Provider Name | Deirdre Ekholdt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841562337 PECOS PAC ID: 5294998944 Enrollment ID: I20151218001127 |
| Provider Name | Nicole Leann Merlo-white |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053488577 PECOS PAC ID: 7618402223 Enrollment ID: I20241203002009 |
| Provider Name | Karen M Krupnik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467735134 PECOS PAC ID: 5799208153 Enrollment ID: I20250326003871 |
| Provider Name | Ethan Sherrerd Wattley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194492611 PECOS PAC ID: 0941723720 Enrollment ID: I20250402001909 |
| Provider Name | Melanie Ann Vollono |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124757596 PECOS PAC ID: 0749704500 Enrollment ID: I20250414002136 |
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