| Tmw Wellness Pllc | |
|
504 Wolcott Rd Wolcott CT 06716-2461 | |
| (203) 504-9507 | |
| Not Available |
| Full Name | Tmw Wellness Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 504 Wolcott Rd, Wolcott, Connecticut |
| Authorized Official Name and Position | Shivanna Subramani-gonzalez (CMO) |
| Authorized Official Contact | 2037255339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmw Wellness Pllc 504 Wolcott Rd Wolcott CT 06716-2461 Ph: () - | Tmw Wellness Pllc 504 Wolcott Rd Wolcott CT 06716-2461 Ph: (203) 504-9507 |
| NPI Number | 1912601402 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912601402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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