| Specialized Counseling Services Llc | |
|
54 Hazard Ave Ste 262 Enfield CT 06082-3845 | |
| (413) 731-5582 | |
| (413) 731-7999 |
| Full Name | Specialized Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 54 Hazard Ave, Enfield, Connecticut |
| Authorized Official Name and Position | Daniel M Pilachowski (PRESIDENT/CLINICAL DIR) |
| Authorized Official Contact | 4137315582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Counseling Services Llc 380 Union St. Ste. 116 West Springfield MA 01089 Ph: (413) 731-5582 | Specialized Counseling Services Llc 54 Hazard Ave Ste 262 Enfield CT 06082-3845 Ph: (413) 731-5582 |
| NPI Number | 1699966846 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699966846 | NPI | - | NPPES |
| 000000020410 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1029305 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 006650 (Connecticut) | Primary |
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