| Safe Harbor Christian Counseling Of Connecticut, Llc | |
|
498 White Plains Rd Trumbull CT 06611-4855 | |
| (800) 305-2089 | |
| Not Available |
| Full Name | Safe Harbor Christian Counseling Of Connecticut, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 498 White Plains Rd, Trumbull, Connecticut |
| Authorized Official Name and Position | Robert F Hutter (DIRECTOR) |
| Authorized Official Contact | 2039933555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Christian Counseling Of Connecticut, Llc 55 Cutspring Cir Stratford CT 06614-1954 Ph: (203) 993-3555 | Safe Harbor Christian Counseling Of Connecticut, Llc 498 White Plains Rd Trumbull CT 06611-4855 Ph: (800) 305-2089 |
| NPI Number | 1245467398 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 09/28/2016 |
| Medicare PECOS PAC ID | 4587951934 |
|---|---|
| Medicare Enrollment ID | O20161206000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245467398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001718 (Connecticut) | Primary |
| Provider Name | Norma J Kirwan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760494132 PECOS PAC ID: 7810888773 Enrollment ID: I20040322001162 |
| Provider Name | Clarice E Grens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053492678 PECOS PAC ID: 4688752769 Enrollment ID: I20080416000007 |
| Provider Name | Amelia Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912159138 PECOS PAC ID: 0244510485 Enrollment ID: I20161206000930 |
| Provider Name | Kathryn Culbertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710432257 PECOS PAC ID: 2062795958 Enrollment ID: I20170220002782 |
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