Tirrell, Renea Michelle

Tirrell, Renea Michelle is an sole proprietor health care provider with primary practice located at 344 Watertown Rd , Thomaston CT 06787-1921. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tirrell, Renea Michelle can be contacted via phone (203) 819-0789.

Contact Information

Primary practice address
344 Watertown Rd Thomaston CT 06787-1921
Phone: (203) 819-0789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Connecticut
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0001272 Connecticut

Profile Details

NPI number 1821354952
LBN Legal business name Tirrell, Renea Michelle
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2012
Last updated Mar 28th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821354952 NPPES
Connecticut MEDICAID 004123840
Connecticut MEDICAID 008031626
Connecticut MEDICAID 008017935

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