| Harvest Wellness Llc | |
|
2661 Whitney Ave Hamden CT 06518-2900 | |
| (475) 209-3758 | |
| Not Available |
| Full Name | Harvest Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2661 Whitney Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Mia Wilson (OWNER) |
| Authorized Official Contact | 4752093758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvest Wellness Llc Po Box 4105 Hamden CT 06514-0105 Ph: () - | Harvest Wellness Llc 2661 Whitney Ave Hamden CT 06518-2900 Ph: (475) 209-3758 |
| NPI Number | 1326822008 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326822008 | NPI | - | NPPES |
| 1649883943 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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