Revive Center For Wellness | |
37 Glenbrook Rd Suite, 3 Stamford CT 06902-2913 | |
(203) 693-4917 | |
(203) 802-6271 |
Full Name | Revive Center For Wellness |
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Speciality | Social Worker |
Location | 37 Glenbrook Rd, Stamford, Connecticut |
Authorized Official Name and Position | Amy L Albero (MANAGING MEMBER) |
Authorized Official Contact | 2039893415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Revive Center For Wellness 151 Rolling Wood Dr Stamford CT 06905-2329 Ph: (203) 693-4917 | Revive Center For Wellness 37 Glenbrook Rd Suite, 3 Stamford CT 06902-2913 Ph: (203) 693-4917 |
NPI Number | 1992230288 |
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Provider Enumeration Date | 04/25/2017 |
Last Update Date | 04/25/2017 |
Medicare PECOS PAC ID | 9638539463 |
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Medicare Enrollment ID | O20230712001702 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992230288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Amy Albero |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801162086 PECOS PAC ID: 0547620379 Enrollment ID: I20230712002015 |
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