| Wellmore, Inc. | |
|
141 E Main St Waterbury CT 06702-2310 | |
| (203) 756-7287 | |
| (203) 596-0722 |
| Full Name | Wellmore, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 141 E Main St, Waterbury, Connecticut |
| Authorized Official Name and Position | Gary Steck (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2037567287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmore, Inc. 141 E Main St Waterbury CT 06702-2310 Ph: (203) 574-9000 | Wellmore, Inc. 141 E Main St Waterbury CT 06702-2310 Ph: (203) 756-7287 |
| NPI Number | 1841379013 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841379013 | NPI | - | NPPES |
| GRP/FACILITY | Other | CT | ANTHEM BCBS OF CT |
| GRP/FACILITY | Other | CT | MHN/MHN TRICARE NORTH |
| GRP/FACILITY | Other | CT | UBH-CONNECTICARE |
| GRP/FACILITY | Other | CT | OPTUM BEHAVIORAL HEALTH |
| 4491935 | Other | CT | CIGNA BEHAVIORAL HEALTH |
| D339123 WATERBURY | Other | CT | BECON HEALTH STRATEGIES |
| GRP/FACILITY | Other | CT | HEALTHYCT |
| GRP/FACILITY | Other | CT | UBH-OXFORD/FREEDOM |
| GRP/FACILITY | Other | CT | UBH/UNITED HEALTHCARE |
| 004039202 | Medicaid | CT | |
| 9211645 | Other | CT | AETNA HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | OPCC-11 (Connecticut) | Primary |
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