| 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 | Angelina Miceli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871944496 PECOS PAC ID: 8729349493 Enrollment ID: I20180221002330 |
| Provider Name | Robin Kallman-hoving |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871770438 PECOS PAC ID: 6406196138 Enrollment ID: I20190315002338 |
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