BETHANY GALLANT (NPI# 1053724930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053724930 |
| Entity Type | Individual |
| Full Name | BETHANY GALLANT |
| Credential | LPC |
| Practice Address |
21 Montauk Ave New London CT 06320-4906 |
| Mailing Address |
20 Batterson Park Rd Suite 300 Farmington CT 06032-4502 |
| Practice Telephone | 8604430530 |
| Practice Fax Number | 8604430536 |
| Mailing Telephone | 8602841177 |
| Mailing Fax Number | 8602841125 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002515 | CT | Behavioral Health & Social Service Providers |
| Street Address |
21 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215909379 | Stephen Glenn Vance | Psychiatry & Neurology | 21 Montauk Ave, New London, CT 06320-4906 | 2006-02-03 |
| 1982189056 | Cassandra M Rice | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2018-09-25 |
| 1114421765 | Sarah Bochet | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2018-03-20 |
| 1356841415 | Madena Lynn Lewis | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320 | 2018-02-15 |
| 1336655240 | Peggy Nelson | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2017-12-15 |
| 1417469446 | Glorimar Anderson | Social Worker | 21 Montauk Ave, New London, CT 06320 | 2017-10-31 |
| 1295189389 | Kevin M Messier | Pharmacist | 21 Montauk Ave, Suite 102, New London, CT 06320-4906 | 2016-04-15 |
| 1821464017 | Ellen Louise Sollazzo | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320-4906 | 2015-08-11 |
| 1275918732 | Rachael Mullen | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2015-07-27 |
| 1982091781 | Bryan D Mccloskey | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264578 | Francis Counseling Services Inc | Counselor | 304 E Main St Ste 200, New London, IA 52645-1218 | 2019-06-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1770970923 | Heidi Veltheim | Counselor | 165 State St Ste 219, New London, CT 06320-6304 | 2015-04-24 |
| 1649693532 | Melinda Venett | Counselor | 300 State St Ste 307, New London, CT 06320-6152 | 2014-01-28 |
| 1265863286 | Hatina Terras | Counselor | 300 State St Ste 217, New London, CT 06320-6105 | 2013-12-01 |
| 1922331917 | Maureen F Shea | Counselor | 867 Pequot Ave, New London, CT 06320-4243 | 2009-09-09 |
| 1376795112 | Stephanie Gill-manville | Counselor | 21 Montauk Avene, New London, CT 06320-6397 | 2008-10-10 |
| 1154510196 | Michael David Richardson | Counselor | 12496 Old 79, New London, MO 63459-2741 | 2007-10-16 |
| 1306052832 | Julie A. Fischer | Counselor | E8172 Cut Off Rd, New London, WI 54961-9012 | 2007-05-14 |
| 1033168141 | Kim Robinson | Counselor | 12662 Saverton West Dr, New London, MO 63459-3639 | 2006-05-08 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on BETHANY GALLANT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.