| Move Mountains Wellness Llc | |
|
500 W Putnam Ave Ste 400 Greenwich CT 06830-6096 | |
| (475) 444-3131 | |
| Not Available |
| Full Name | Move Mountains Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 500 W Putnam Ave Ste 400, Greenwich, Connecticut |
| Authorized Official Name and Position | Angelica M Camargo (OWNER) |
| Authorized Official Contact | 9144381372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Move Mountains Wellness Llc 500 W Putnam Ave Ste 400 Greenwich CT 06830-6096 Ph: (475) 444-3131 | Move Mountains Wellness Llc 500 W Putnam Ave Ste 400 Greenwich CT 06830-6096 Ph: (475) 444-3131 |
| NPI Number | 1649984295 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Medicare PECOS PAC ID | 6608248612 |
|---|---|
| Medicare Enrollment ID | O20230220001807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649984295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angelica Maria Camargo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073149431 PECOS PAC ID: 0143692152 Enrollment ID: I20230220001864 |
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