Wellness At The Farm, Llc | |
19 S Walnut St Suite D Wauregan CT 06387 | |
(860) 771-9989 | |
Not Available |
Full Name | Wellness At The Farm, Llc |
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Speciality | Counselor |
Location | 19 S Walnut St, Wauregan, Connecticut |
Authorized Official Name and Position | Amber Cote (OWNER, THERAPIST) |
Authorized Official Contact | 8607719989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness At The Farm, Llc Po Box 86 Harmony RI 02829-0086 Ph: () - | Wellness At The Farm, Llc 19 S Walnut St Suite D Wauregan CT 06387 Ph: (860) 771-9989 |
NPI Number | 1528534781 |
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Provider Enumeration Date | 10/15/2018 |
Last Update Date | 08/15/2019 |
Medicare PECOS PAC ID | 9638522972 |
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Medicare Enrollment ID | O20240202000216 |
Identifier | Type | State | Issuer |
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1528534781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Amber Cote |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750832978 PECOS PAC ID: 0547613887 Enrollment ID: I20240202000298 |
Jennifer Chokas, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 South Walnut St., Wauregan, CT 06387 Phone: 860-960-0010 Fax: 860-960-0020 |