| Inner Health & Healing Of Ny And Ct | |
|
109 Danbury Rd Ste 4 Ridgefield CT 06877-4109 | |
| (475) 444-6204 | |
| Not Available |
| Full Name | Inner Health & Healing Of Ny And Ct |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 109 Danbury Rd Ste 4, Ridgefield, Connecticut |
| Authorized Official Name and Position | Austin Macchiaroli (OFFICE MANAGER) |
| Authorized Official Contact | 4754446204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Health & Healing Of Ny And Ct 109 Danbury Rd Ste 4 Ridgefield CT 06877-4109 Ph: () - | Inner Health & Healing Of Ny And Ct 109 Danbury Rd Ste 4 Ridgefield CT 06877-4109 Ph: (475) 444-6204 |
| NPI Number | 1679215008 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 8224403407 |
|---|---|
| Medicare Enrollment ID | O20230403000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679215008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Marissa J Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811350663 PECOS PAC ID: 5799046033 Enrollment ID: I20230403000248 |
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