| Solid Ground Therapy Solutions Llc | |
|
22 Pine St Ste 103a Bristol CT 06010-6949 | |
| (860) 212-3317 | |
| Not Available |
| Full Name | Solid Ground Therapy Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 22 Pine St Ste 103a, Bristol, Connecticut |
| Authorized Official Name and Position | Rose Marie Burke (OWNER) |
| Authorized Official Contact | 8602123317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solid Ground Therapy Solutions Llc 22 Pine St Ste 103a Bristol CT 06010-6949 Ph: (860) 261-7115 | Solid Ground Therapy Solutions Llc 22 Pine St Ste 103a Bristol CT 06010-6949 Ph: (860) 212-3317 |
| NPI Number | 1871143115 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 11/04/2019 |
| Medicare PECOS PAC ID | 7214356005 |
|---|---|
| Medicare Enrollment ID | O20200928003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871143115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rose Marie Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720368939 PECOS PAC ID: 1850689373 Enrollment ID: I20161014001729 |
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