| Sheryll Waring Lpc Ladc Llc | |
|
33 Pratt St Glastonbury CT 06033-1014 | |
| (860) 933-5532 | |
| (860) 430-6861 |
| Full Name | Sheryll Waring Lpc Ladc Llc |
|---|---|
| Speciality | Counselor |
| Location | 33 Pratt St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Sheryll Waring (OWNER) |
| Authorized Official Contact | 8609335532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheryll Waring Lpc Ladc Llc 352 Griswold St Glastonbury CT 06033-1192 Ph: (860) 933-5532 | Sheryll Waring Lpc Ladc Llc 33 Pratt St Glastonbury CT 06033-1014 Ph: (860) 933-5532 |
| NPI Number | 1053852137 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Medicare PECOS PAC ID | 5597108977 |
|---|---|
| Medicare Enrollment ID | O20240213002933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053852137 | NPI | - | NPPES |
| 1346405289 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 000695 (Connecticut) | Primary |
| Provider Name | Sheryll Ann Waring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346405289 PECOS PAC ID: 8123461506 Enrollment ID: I20240213003127 |
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