| Somatic Zen Pllc | |
|
755 Main St Building 2, Ste 2b Monroe CT 06468-2330 | |
| (203) 628-2468 | |
| Not Available |
| Full Name | Somatic Zen Pllc |
|---|---|
| Speciality | Counselor |
| Location | 755 Main St, Monroe, Connecticut |
| Authorized Official Name and Position | Michelle Caruso (OWNER) |
| Authorized Official Contact | 2036282468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somatic Zen Pllc 755 Main St Building 2, Ste 2b Monroe CT 06468-2330 Ph: (203) 628-2468 | Somatic Zen Pllc 755 Main St Building 2, Ste 2b Monroe CT 06468-2330 Ph: (203) 628-2468 |
| NPI Number | 1376344291 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 7012434871 |
|---|---|
| Medicare Enrollment ID | O20250506001912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376344291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Michelle Lynn Caruso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841970860 PECOS PAC ID: 0648627570 Enrollment ID: I20240126004065 |
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