| Healing Connection And Wellness Llc | |
|
4185 St George Rd Williston VT 05495-7695 | |
| (802) 879-5333 | |
| Not Available |
| Full Name | Healing Connection And Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 4185 St George Rd, Williston, Vermont |
| Authorized Official Name and Position | Callie M Amato (OWNER) |
| Authorized Official Contact | 8025788248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Connection And Wellness Llc 139 Brookside Dr Williston VT 05495-5231 Ph: (802) 578-8248 | Healing Connection And Wellness Llc 4185 St George Rd Williston VT 05495-7695 Ph: (802) 879-5333 |
| NPI Number | 1477265700 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Medicare PECOS PAC ID | 3678916574 |
|---|---|
| Medicare Enrollment ID | O20240207003637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477265700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Callie Moore Amato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235510553 PECOS PAC ID: 4587007489 Enrollment ID: I20240207003740 |
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