Integrated Wellness Group, Llc | |
446a Blake Street Suite 200 New Haven CT 06515-2216 | |
(203) 387-9400 | |
(888) 772-2160 |
Full Name | Integrated Wellness Group, Llc |
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Speciality | Psychologist |
Location | 446a Blake Street, New Haven, Connecticut |
Authorized Official Name and Position | Maysa Akbar (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2033879400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrated Wellness Group, Llc 446a Blake St Suite 200 New Haven CT 06515-1286 Ph: (203) 387-9400 | Integrated Wellness Group, Llc 446a Blake Street Suite 200 New Haven CT 06515-2216 Ph: (203) 387-9400 |
NPI Number | 1003096744 |
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Provider Enumeration Date | 11/09/2007 |
Last Update Date | 09/09/2010 |
Medicare PECOS PAC ID | 3476639600 |
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Medicare Enrollment ID | O20080327000554 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003096744 | NPI | - | NPPES |
Provider Name | Cecilia T Rowland |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609810498 PECOS PAC ID: 9436161866 Enrollment ID: I20060628000309 |
Provider Name | Erica Crawford Holahan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003321951 PECOS PAC ID: 1153655113 Enrollment ID: I20190625001265 |
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