| Second Stories Counseling, Llp | |
|
1095b S Main St Cheshire CT 06410-3432 | |
| (203) 631-1191 | |
| Not Available |
| Full Name | Second Stories Counseling, Llp |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1095b S Main St, Cheshire, Connecticut |
| Authorized Official Name and Position | Michelle Jean Piccerillo (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 2036311191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Stories Counseling, Llp 1095b S Main St Cheshire CT 06410-3432 Ph: (203) 631-1191 | Second Stories Counseling, Llp 1095b S Main St Cheshire CT 06410-3432 Ph: (203) 631-1191 |
| NPI Number | 1902472541 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 06/03/2021 |
| Certification Date | 06/02/2021 |
| Medicare PECOS PAC ID | 2163818154 |
|---|---|
| Medicare Enrollment ID | O20220330002144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902472541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Kevin Lardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225443856 PECOS PAC ID: 1456693373 Enrollment ID: I20190425000240 |
| Provider Name | Bianca Gondek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902383458 PECOS PAC ID: 0042606949 Enrollment ID: I20220401000154 |
| Provider Name | Vickie Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609509561 PECOS PAC ID: 0446629489 Enrollment ID: I20221213002371 |
| Provider Name | Anna I Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669159240 PECOS PAC ID: 8123480274 Enrollment ID: I20230822000479 |
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