| Central Ct Wellness Llc | |
|
136 Commerce Way South Windsor CT 06074-1151 | |
| (860) 367-5061 | |
| Not Available |
| Full Name | Central Ct Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 136 Commerce Way, South Windsor, Connecticut |
| Authorized Official Name and Position | Katherine Kirch (THERAPIST) |
| Authorized Official Contact | 8603675061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Ct Wellness Llc 46 Hawthorne St Manchester CT 06042-3021 Ph: () - | Central Ct Wellness Llc 136 Commerce Way South Windsor CT 06074-1151 Ph: (860) 367-5061 |
| NPI Number | 1558842559 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558842559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008335 (Connecticut) | Primary |
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