| Sound Health And Wellness Llc | |
|
66 N Main St Branford CT 06405-3032 | |
| (203) 804-9448 | |
| Not Available |
| Full Name | Sound Health And Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 66 N Main St, Branford, Connecticut |
| Authorized Official Name and Position | Suzanne Mccoll (OWNER) |
| Authorized Official Contact | 2038049448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Health And Wellness Llc 66 N Main St Branford CT 06405-3032 Ph: () - | Sound Health And Wellness Llc 66 N Main St Branford CT 06405-3032 Ph: (203) 804-9448 |
| NPI Number | 1093223026 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 9032562889 |
|---|---|
| Medicare Enrollment ID | O20240128000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093223026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001436 (Connecticut) | Primary |
| Provider Name | Michelle L Calus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518365907 PECOS PAC ID: 4789003377 Enrollment ID: I20201001000260 |
| Provider Name | Kenneth C Rando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861930786 PECOS PAC ID: 0143649657 Enrollment ID: I20201002000949 |
| Provider Name | Christina Marie Hadlock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053676932 PECOS PAC ID: 8527410703 Enrollment ID: I20240124000374 |
| Provider Name | Suzanne Champagne Mccoll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306077326 PECOS PAC ID: 0941653794 Enrollment ID: I20240128000110 |
| Provider Name | Toni-michelle Storlazzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740753367 PECOS PAC ID: 6608229356 Enrollment ID: I20240129003793 |
| Provider Name | Austin Phelan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386267946 PECOS PAC ID: 6709220015 Enrollment ID: I20240214003221 |
| Provider Name | Christine M. Talerico |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1073228730 PECOS PAC ID: 2466890843 Enrollment ID: I20240404000265 |
| Provider Name | Danielle Glick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518558162 PECOS PAC ID: 7810335205 Enrollment ID: I20240404000734 |
| Provider Name | Leslie Elizabeth Dumke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568002707 PECOS PAC ID: 0345688297 Enrollment ID: I20240410003886 |
| Provider Name | Sommer Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750836730 PECOS PAC ID: 2264871474 Enrollment ID: I20240422001155 |
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