| Connected Wellness Group Llc | |
|
327 W 21st St Ste 205 Norfolk VA 23517-2130 | |
| (757) 656-6461 | |
| Not Available |
| Full Name | Connected Wellness Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 327 W 21st St Ste 205, Norfolk, Virginia |
| Authorized Official Name and Position | Rachel Harner (OWNER) |
| Authorized Official Contact | 7575930303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Wellness Group Llc Po Box 11611 Norfolk VA 23517-0611 Ph: (757) 593-0303 | Connected Wellness Group Llc 327 W 21st St Ste 205 Norfolk VA 23517-2130 Ph: (757) 656-6461 |
| NPI Number | 1952050353 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952050353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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