JULIETTE LACE HODGE (NPI# 1851661623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851661623 |
| Entity Type | Individual |
| Full Name | JULIETTE LACE HODGE |
| Credential | MA,BA |
| Practice Address |
160 Midlan Road Wellmore, Inc-paladin House Waterbury CT 06705-3415 |
| Mailing Address |
141 E Main St 4th Floor Administration Waterbury CT 06702-2310 |
| Practice Telephone | 2035971935 |
| Practice Fax Number | 2035978811 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
160 MIDLAN ROAD WELLMORE, INC-PALADIN HOUSE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968903 | Daihany Mejia-bonilla | Counselor | 84 Buckland Dr, Waterbury, CT 06704-1116 | 2020-06-30 |
| 1962959437 | Kenneth Howard | Counselor | 402 E Main Street, Ipv Fair Unit-waterbury Op Services, Waterbury, CT 06702-1701 | 2016-09-01 |
| 1518217835 | Joy Brundage | Counselor | 160 Midland Rd, Waterbury, CT 06705-3415 | 2012-09-13 |
| 1457976011 | Jesse Montalvo | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-06-10 |
| 1477189660 | Kyle L Akeley | Counselor | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2020-03-19 |
| 1548894801 | Virginia Williams | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-02-26 |
| 1699313593 | Kristen Birmingham | Counselor | 276 Highland Ave, Waterbury, CT 06708-3022 | 2019-12-11 |
| 1881241529 | Gretchen Hale | Counselor | 402 E Main St, Waterbury, CT 06702-1701 | 2019-08-19 |
| 1053971531 | Brianna Doran | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2019-06-18 |
| 1417416165 | Yisroel Mordechai Lyss | Counselor | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-03-12 |
| Find all providers in WATERBURY | ||||
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| 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.