Inner Wellness Counseling Group, Llc | |
1 Willowbrook Rd Ste 6 Cromwell CT 06416-1745 | |
(860) 830-8866 | |
Not Available |
Full Name | Inner Wellness Counseling Group, Llc |
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Speciality | Social Worker |
Location | 1 Willowbrook Rd Ste 6, Cromwell, Connecticut |
Authorized Official Name and Position | Alane Villar (OWNER) |
Authorized Official Contact | 8604022825 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inner Wellness Counseling Group, Llc 1 Willowbrook Rd Ste 6 Cromwell CT 06416-1745 Ph: (860) 402-2825 | Inner Wellness Counseling Group, Llc 1 Willowbrook Rd Ste 6 Cromwell CT 06416-1745 Ph: (860) 830-8866 |
NPI Number | 1336642008 |
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Provider Enumeration Date | 03/08/2018 |
Last Update Date | 07/26/2021 |
Certification Date | 07/26/2021 |
Medicare PECOS PAC ID | 3375933658 |
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Medicare Enrollment ID | O20211130001890 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336642008 | NPI | - | NPPES |
CBHP006699 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 008112 (Connecticut) | Primary |
Provider Name | Alane Villar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245508795 PECOS PAC ID: 2860765963 Enrollment ID: I20170912003111 |
Provider Name | Jessica Dimock |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184143513 PECOS PAC ID: 3173942075 Enrollment ID: I20200925001752 |
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