MEDICARE: INNER PEACE PSYCHOTHERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2570	CT

General Provider Information

NPI Number	:	1023425964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER PEACE PSYCHOTHERAPY, LLC

Provider Business Mailing Address
First Line	:	63 FOSTER LN
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-2014
Country	:	US
Telephone Number	:	860-977-6272
Fax Number	:

Provider Business Practice Location Address
First Line	:	9A PASCO DR
Second Line	:
City	:	EAST WINDSOR
State	:	CT
Zip	:	06088-1700
Country	:	US
Telephone Number	:	860-977-6272
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST LPC
Name	:	MRS. KELLY MARIE PORTER
Credential	:
Telephone Number	:	860-977-6272

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	07/11/2014

Similar Medicare Providers

1093780256 — MRS. SHERYL MARINONE APRN
Practice Location Address:

3A PASCO DR
EAST WINDSOR, CT
06088-1700

Practice Phone: 860-623-4100
Practice Fax: 860-623-4101

1518050434 — MS. CATHERINE MARIE EWING LCSW, MDIV
Practice Location Address:

9A PASCO DR
EAST WINDSOR, CT
06088-1700

Practice Phone: 860-899-1220
Practice Fax: 860-838-6460

1043634850 — EFFECTIVE SOLUTIONS COUNSELING, LLC
Practice Location Address:

9A PASCO DR
EAST WINDSOR, CT
06088-1700

Practice Phone: 860-331-4251
Practice Fax:

1114919305 — EAST WINDSOR AMBULANCE ASSOC
Practice Location Address:

25 SCHOOL ST
EAST WINDSOR, CT
06088-9511

Practice Phone: 860-654-0515
Practice Fax: 860-623-5289

1194718783 — MRS. JANICE K SENNICK PHARMD
Practice Location Address:

67 PROSPECT HILL RD
EAST WINDSOR, CT
06088-3605

Practice Phone: 860-623-1407
Practice Fax:

1174506299 — ALLIED COMMUNITY RESOURCES, INC.
Practice Location Address:

6 CRAFTSMAN RD
EAST WINDSOR, CT
06088-9685

Practice Phone: 860-749-8833
Practice Fax: 860-627-0230

Directions to “INNER PEACE PSYCHOTHERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.