Restoring You Wellness Center Llc | |
1113 S Main St Ste F Cheshire CT 06410-3436 | |
(203) 699-6318 | |
Not Available |
Full Name | Restoring You Wellness Center Llc |
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Speciality | Social Worker |
Location | 1113 S Main St Ste F, Cheshire, Connecticut |
Authorized Official Name and Position | Brittney Jackson (MEMBER) |
Authorized Official Contact | 2036996318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restoring You Wellness Center Llc 1113 S Main St Ste F Cheshire CT 06410-3436 Ph: (203) 699-6318 | Restoring You Wellness Center Llc 1113 S Main St Ste F Cheshire CT 06410-3436 Ph: (203) 699-6318 |
NPI Number | 1023650090 |
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Provider Enumeration Date | 10/11/2019 |
Last Update Date | 01/24/2022 |
Certification Date | 01/24/2022 |
Medicare PECOS PAC ID | 0749612935 |
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Medicare Enrollment ID | O20191108000780 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023650090 | NPI | - | NPPES |
Provider Name | Brittney Jackson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639728231 PECOS PAC ID: 1850622713 Enrollment ID: I20191008002946 |
Provider Name | De'andrea Dillard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063845766 PECOS PAC ID: 3678905874 Enrollment ID: I20191108001228 |
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