| Soul Friends, Inc | |
|
300 Church St Suite 105 Wallingford CT 06492-2253 | |
| (203) 679-0849 | |
| Not Available |
| Full Name | Soul Friends, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 300 Church St, Wallingford, Connecticut |
| Authorized Official Name and Position | M. Kathryn Nicoll (PRESIDENT) |
| Authorized Official Contact | 2036790849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Friends, Inc 300 Church St Suite 105 Wallingford CT 06492-2253 Ph: (203) 679-0849 | Soul Friends, Inc 300 Church St Suite 105 Wallingford CT 06492-2253 Ph: (203) 679-0849 |
| NPI Number | 1154499804 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/08/2014 |
| Medicare PECOS PAC ID | 9133135916 |
|---|---|
| Medicare Enrollment ID | O20060302000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154499804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002617 (Connecticut) | Secondary |
| 251S00000X | Community/behavioral Health | (Connecticut) | Primary |
| Provider Name | Mary Kathryn Nicoll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376664722 PECOS PAC ID: 2860408648 Enrollment ID: I20060303000088 |
N.c.k., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Bull Ave, 7, Wallingford, CT 06492 Phone: 203-809-2455 | |
Jennifer Smith, Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 S Colony St, Wallingford, CT 06492 Phone: 860-581-0215 | |
Licenced Clinical Social Worker Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Mapleview Rd, Wallingford, CT 06492 Phone: 203-996-6732 | |
Amy Cave, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Mohawk Dr, Wallingford, CT 06492 Phone: 860-941-6159 | |
Jacqueline Mcnamee, Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Deer Run Rd, Wallingford, CT 06492 Phone: 203-815-9214 | |
Visiting Nurse Association Of Wallingford, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 N Plains Industrial Rd, Wallingford, CT 06492 Phone: 203-269-1475 Fax: 203-265-5357 | |
Ambitions Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Fair St, Wallingford, CT 06492 Phone: 203-565-5403 |