Faithwell Counseling And Services, Llc. | |
1204 Main St Ste 512 Branford CT 06405-3787 | |
(678) 314-4695 | |
(203) 481-7634 |
Full Name | Faithwell Counseling And Services, Llc. |
---|---|
Speciality | Counselor - Professional |
Location | 1204 Main St Ste 512, Branford, Connecticut |
Authorized Official Name and Position | Mireille Gaines (CLINICIAN) |
Authorized Official Contact | 6783144695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Faithwell Counseling And Services, Llc. 1204 Main St Ste 512 Branford CT 06405-3787 Ph: (678) 314-4695 | Faithwell Counseling And Services, Llc. 1204 Main St Ste 512 Branford CT 06405-3787 Ph: (678) 314-4695 |
NPI Number | 1154901973 |
---|---|
Provider Enumeration Date | 04/14/2021 |
Last Update Date | 06/08/2021 |
Certification Date | 06/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154901973 | NPI | - | NPPES |
1154901973 | Medicaid | CT | |
1861040065 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
News Archive
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