| Serenita Wellness Llc | |
|
100 Bank St Ste 104 Seymour CT 06483-2806 | |
| (203) 828-0704 | |
| Not Available |
| Full Name | Serenita Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 100 Bank St Ste 104, Seymour, Connecticut |
| Authorized Official Name and Position | Melissa Trinci (MANAGING PARTNER) |
| Authorized Official Contact | 2032786042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenita Wellness Llc 151 S Main St Seymour CT 06483-3346 Ph: () - | Serenita Wellness Llc 100 Bank St Ste 104 Seymour CT 06483-2806 Ph: (203) 828-0704 |
| NPI Number | 1568007474 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 4789015488 |
|---|---|
| Medicare Enrollment ID | O20200513002089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568007474 | NPI | - | NPPES |
| Provider Name | Kelley Machado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417328634 PECOS PAC ID: 8921308941 Enrollment ID: I20151124000944 |
| Provider Name | Michael Francis Genovese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619563020 PECOS PAC ID: 2961864228 Enrollment ID: I20230817003626 |
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