| Potentilla Therapy Pllc | |
|
196 Woodland St Unit 1c Bristol CT 06010-5283 | |
| (860) 309-5569 | |
| Not Available |
| Full Name | Potentilla Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 196 Woodland St Unit 1c, Bristol, Connecticut |
| Authorized Official Name and Position | Amanda Dill (OWNER/LCSW) |
| Authorized Official Contact | 8603095569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potentilla Therapy Pllc 83 Birge St Apt 7 Torrington CT 06790-5575 Ph: (860) 309-5569 | Potentilla Therapy Pllc 196 Woodland St Unit 1c Bristol CT 06010-5283 Ph: (860) 309-5569 |
| NPI Number | 1669271870 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 06/19/2025 |
| Certification Date | 06/19/2025 |
| Medicare PECOS PAC ID | 6103345632 |
|---|---|
| Medicare Enrollment ID | O20250528001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669271870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Noel Dill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962811240 PECOS PAC ID: 3577978279 Enrollment ID: I20210210001284 |
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