| Premier Therapy Wellness | |
|
379 Prospect St Fl 2 Torrington CT 06790-5238 | |
| (860) 960-3542 | |
| Not Available |
| Full Name | Premier Therapy Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 379 Prospect St Fl 2, Torrington, Connecticut |
| Authorized Official Name and Position | Luisa Cheij (OWNER) |
| Authorized Official Contact | 4134412074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Therapy Wellness 7 Bridle Cir Torrington CT 06790-2378 Ph: () - | Premier Therapy Wellness 379 Prospect St Fl 2 Torrington CT 06790-5238 Ph: (860) 960-3542 |
| NPI Number | 1205308038 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 12/18/2018 |
| Medicare PECOS PAC ID | 6305285024 |
|---|---|
| Medicare Enrollment ID | O20240415001575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205308038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Luisa Cheij |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124258900 PECOS PAC ID: 7113366832 Enrollment ID: I20240415001803 |
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