| Advanced Mental Health Associates Pllc | |
|
80 Old Ridgefield Rd Wilton CT 06897-3012 | |
| (203) 632-0617 | |
| (203) 312-1931 |
| Full Name | Advanced Mental Health Associates Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 Old Ridgefield Rd, Wilton, Connecticut |
| Authorized Official Name and Position | Susan Daly (OWNER) |
| Authorized Official Contact | 2036320617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Mental Health Associates Pllc 80 Old Ridgefield Rd Wilton CT 06897-3012 Ph: (203) 632-0617 | Advanced Mental Health Associates Pllc 80 Old Ridgefield Rd Wilton CT 06897-3012 Ph: (203) 632-0617 |
| NPI Number | 1093582066 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 4082145719 |
|---|---|
| Medicare Enrollment ID | O20241004000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093582066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Susan Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205418498 PECOS PAC ID: 0446657597 Enrollment ID: I20210916001859 |
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