| Rejuvenescence Counseling Service | |
|
50 Union St Thomaston CT 06787-1738 | |
| (860) 781-5905 | |
| Not Available |
| Full Name | Rejuvenescence Counseling Service |
|---|---|
| Speciality | Counselor |
| Location | 50 Union St, Thomaston, Connecticut |
| Authorized Official Name and Position | Felechia M Lewis (SOCIAL WORKER) |
| Authorized Official Contact | 2037251293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenescence Counseling Service 50 Union St Thomaston CT 06787-1738 Ph: (860) 781-5905 | Rejuvenescence Counseling Service 50 Union St Thomaston CT 06787-1738 Ph: (860) 781-5905 |
| NPI Number | 1770220287 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 1951783851 |
|---|---|
| Medicare Enrollment ID | O20220808003569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770220287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Felechia M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184149981 PECOS PAC ID: 1153758883 Enrollment ID: I20200219000746 |
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