| Riverside Counseling, Llc | |
|
1 Fort Hill Rd Suite 3 Groton CT 06340-4799 | |
| (860) 440-6201 | |
| (860) 440-6778 |
| Full Name | Riverside Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Fort Hill Rd, Groton, Connecticut |
| Authorized Official Name and Position | Crystal M Howard-arlia (OWNER) |
| Authorized Official Contact | 8604406201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Counseling, Llc 1 Fort Hill Rd Suite 3 Groton CT 06340-4799 Ph: (860) 440-6201 | Riverside Counseling, Llc 1 Fort Hill Rd Suite 3 Groton CT 06340-4799 Ph: (860) 440-6201 |
| NPI Number | 1841428711 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 12/06/2011 |
| Medicare PECOS PAC ID | 0244540797 |
|---|---|
| Medicare Enrollment ID | O20151112001595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841428711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006225 (Connecticut) | Primary |
| Provider Name | Crystal Marie Howard-arlia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578571584 PECOS PAC ID: 5092801381 Enrollment ID: I20151112001774 |
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