| Twin Peaks Counseling, Llc | |
|
303 Roosevelt Dr Derby CT 06418-1629 | |
| (475) 777-9303 | |
| Not Available |
| Full Name | Twin Peaks Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 303 Roosevelt Dr, Derby, Connecticut |
| Authorized Official Name and Position | Dayne Bachmann (OWNER/CLINICIAN) |
| Authorized Official Contact | 4757779303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Peaks Counseling, Llc 303 Roosevelt Dr Derby CT 06418-1629 Ph: (475) 777-9303 | Twin Peaks Counseling, Llc 303 Roosevelt Dr Derby CT 06418-1629 Ph: (475) 777-9303 |
| NPI Number | 1477065407 |
|---|---|
| Provider Enumeration Date | 10/31/2017 |
| Last Update Date | 10/31/2017 |
| Medicare PECOS PAC ID | 0749543817 |
|---|---|
| Medicare Enrollment ID | O20180424002611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477065407 | NPI | - | NPPES |
| 008064720 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009421 (Connecticut) | Primary |
| Provider Name | Danielle Capozziello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063741635 PECOS PAC ID: 0840335626 Enrollment ID: I20100304000326 |
| Provider Name | Dayne Bachmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235537663 PECOS PAC ID: 2860756921 Enrollment ID: I20180426001419 |
| Provider Name | Daisy Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831112424 PECOS PAC ID: 6608007414 Enrollment ID: I20190509000138 |
| Provider Name | Teila Marie Lanci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255940094 PECOS PAC ID: 8921427832 Enrollment ID: I20200925002098 |
| Provider Name | Hannah Kristan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053918045 PECOS PAC ID: 4082026612 Enrollment ID: I20201223001255 |
Jacquelyn Carrano, Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 Derby Ave Unit 511, Derby, CT 06418 Phone: 203-444-0412 | |
Joseph B. Guarnaccia, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Mstc, C/o Griffin Hospital, Derby, CT 06418 Phone: 203-732-1290 Fax: 302-732-1299 | |
The Family Counseling & Mediation Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 New Haven Ave, Derby, CT 06418 Phone: 203-736-6734 Fax: 203-736-6734 | |
Safe Harbor Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 New Haven Ave, Derby, CT 06418 Phone: 475-777-9303 | |
Lower Naugatuck Valley Parent Child Resource Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Elizabeth St, 3rd Floor, Derby, CT 06418 Phone: 203-954-0543 Fax: 203-954-0544 | |
Sunrise Med Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-872-2131 | |
Cozy Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 North Ave, Derby, CT 06418 Phone: 203-787-8976 Fax: 203-787-8976 |