| Southern Connecticut Counseling Services Llc | |
|
477 Main St Ste 208 Monroe CT 06468-1139 | |
| (203) 220-2208 | |
| (203) 220-2247 |
| Full Name | Southern Connecticut Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 477 Main St Ste 208, Monroe, Connecticut |
| Authorized Official Name and Position | Susan Goldfarb (SOLE OWNER) |
| Authorized Official Contact | 2032202208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Connecticut Counseling Services Llc 477 Main St Ste 208 Monroe CT 06468-1139 Ph: (203) 220-2208 | Southern Connecticut Counseling Services Llc 477 Main St Ste 208 Monroe CT 06468-1139 Ph: (203) 220-2208 |
| NPI Number | 1902969462 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 7911433396 |
|---|---|
| Medicare Enrollment ID | O20241209002381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902969462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 000418 (Connecticut) | Primary |
| Provider Name | Susan Goldfarb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346634136 PECOS PAC ID: 8123554516 Enrollment ID: I20241209003209 |
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