| Shaune Martin Therapy | |
|
43 W Broad St Unit 1 Pawcatuck CT 06379-4307 | |
| (860) 245-8548 | |
| Not Available |
| Full Name | Shaune Martin Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 43 W Broad St Unit 1, Pawcatuck, Connecticut |
| Authorized Official Name and Position | Shaune Martin (OWNER) |
| Authorized Official Contact | 8602458548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaune Martin Therapy 43 W Broad St Unit 1 Pawcatuck CT 06379-4307 Ph: (860) 245-8548 | Shaune Martin Therapy 43 W Broad St Unit 1 Pawcatuck CT 06379-4307 Ph: (860) 245-8548 |
| NPI Number | 1780314096 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Medicare PECOS PAC ID | 2860876372 |
|---|---|
| Medicare Enrollment ID | O20220901001835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780314096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shaune Christopher Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992281950 PECOS PAC ID: 5294147013 Enrollment ID: I20201218000762 |
Julie Guiher, Psy.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Pawcatuck, CT 06379 Phone: 860-334-0219 | |
Southeast Counseling Associates, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 401-465-2914 Fax: 401-322-0883 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 S Broad St, Pawcatuck, CT 06379 Phone: 860-437-4550 Fax: 860-661-4262 | |
Se Counseling Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 860-599-2125 | |
Southeast Counseling Associates,ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 860-599-2125 Fax: 401-322-0883 | |
Southeast Counseling Associates, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 185 S Broad St Ste 103, Pawcatuck, CT 06379 Phone: 860-599-2125 Fax: 401-322-0883 |