| Rebellious Wellness, Llc | |
|
833 Little Meadow Rd Guilford CT 06437-5026 | |
| (203) 376-8701 | |
| Not Available |
| Full Name | Rebellious Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 833 Little Meadow Rd, Guilford, Connecticut |
| Authorized Official Name and Position | Helena J Clark (OWNER) |
| Authorized Official Contact | 2033768701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebellious Wellness, Llc 833 Little Meadow Rd Guilford CT 06437-5026 Ph: (203) 376-8701 | Rebellious Wellness, Llc 833 Little Meadow Rd Guilford CT 06437-5026 Ph: (203) 376-8701 |
| NPI Number | 1992454953 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 03/18/2022 |
| Certification Date | 03/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992454953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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