| Seeds Of Hope, Llc | |
|
9 Austin Dr Ste 201 Marlborough CT 06447-1375 | |
| (860) 300-6700 | |
| Not Available |
| Full Name | Seeds Of Hope, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9 Austin Dr Ste 201, Marlborough, Connecticut |
| Authorized Official Name and Position | Shelly L Kennedy (OWNER) |
| Authorized Official Contact | 8603006700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeds Of Hope, Llc Po Box 623 Harwich Port MA 02646-0623 Ph: (860) 300-6700 | Seeds Of Hope, Llc 9 Austin Dr Ste 201 Marlborough CT 06447-1375 Ph: (860) 300-6700 |
| NPI Number | 1831615616 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 1052671039 |
|---|---|
| Medicare Enrollment ID | O20180213000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831615616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7381 (Connecticut) | Primary |
| Provider Name | Lemlem Egziabher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255592739 PECOS PAC ID: 7517030745 Enrollment ID: I20080722000406 |
| Provider Name | Shelly Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437446119 PECOS PAC ID: 6406022383 Enrollment ID: I20111224000000 |
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