| The Well Christian Counseling, Llc | |
|
126 Main St Cheshire CT 06410-2406 | |
| (203) 802-1326 | |
| Not Available |
| Full Name | The Well Christian Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 126 Main St, Cheshire, Connecticut |
| Authorized Official Name and Position | Jeffrey Sullo (OWNER) |
| Authorized Official Contact | 2038021326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Christian Counseling, Llc 27 Green Hill Rd Bethany CT 06524-3324 Ph: (203) 802-1326 | The Well Christian Counseling, Llc 126 Main St Cheshire CT 06410-2406 Ph: (203) 802-1326 |
| NPI Number | 1578151221 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 01/08/2021 |
| Certification Date | 01/07/2021 |
| Medicare PECOS PAC ID | 6204279532 |
|---|---|
| Medicare Enrollment ID | O20240202003837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578151221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Sullo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508292475 PECOS PAC ID: 7012350341 Enrollment ID: I20240202003872 |
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