| Wellness At Home, Llc | |
|
254 Eno Ave Torrington CT 06790 | |
| (860) 605-4855 | |
| Not Available |
| Full Name | Wellness At Home, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 254 Eno Ave, Torrington, Connecticut |
| Authorized Official Name and Position | Pauline A Miller (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8606054855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness At Home, Llc Pauline Miller, Msw, Lcsw 254 Eno Avenue Torrington CT 06790 Ph: (860) 605-4855 | Wellness At Home, Llc 254 Eno Ave Torrington CT 06790 Ph: (860) 605-4855 |
| NPI Number | 1982194585 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 08/28/2018 |
| Medicare PECOS PAC ID | 5597013656 |
|---|---|
| Medicare Enrollment ID | O20180806002081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982194585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004046 (Connecticut) | Primary |
| Provider Name | Pauline A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760712145 PECOS PAC ID: 3678609039 Enrollment ID: I20100419000057 |
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