| Southbury Wellness Center, Llc | |
|
2 Pomperaug Office Park Ste 206 Southbury CT 06488-2291 | |
| (203) 915-7688 | |
| Not Available |
| Full Name | Southbury Wellness Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2 Pomperaug Office Park Ste 206, Southbury, Connecticut |
| Authorized Official Name and Position | Rebecha Sullivan (OWNER/MEMBER) |
| Authorized Official Contact | 2039157688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southbury Wellness Center, Llc 35 Timberland Dr Southbury CT 06488-1170 Ph: (203) 915-7688 | Southbury Wellness Center, Llc 2 Pomperaug Office Park Ste 206 Southbury CT 06488-2291 Ph: (203) 915-7688 |
| NPI Number | 1508529173 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508529173 | NPI | - | NPPES |
| 1255641072 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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