| Wellness Center Of Oxford | |
|
350 Center Rock Grn Ste 9 Oxford CT 06478-3170 | |
| (203) 951-1858 | |
| (203) 307-1771 |
| Full Name | Wellness Center Of Oxford |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 Center Rock Grn Ste 9, Oxford, Connecticut |
| Authorized Official Name and Position | Michael W Allen (CEO) |
| Authorized Official Contact | 1203951185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Center Of Oxford 350 Center Rock Grn Ste 9 Oxford CT 06478-3170 Ph: (203) 951-1858 | Wellness Center Of Oxford 350 Center Rock Grn Ste 9 Oxford CT 06478-3170 Ph: (203) 951-1858 |
| NPI Number | 1275008195 |
|---|---|
| Provider Enumeration Date | 10/07/2018 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/08/2021 |
| Medicare PECOS PAC ID | 4486996329 |
|---|---|
| Medicare Enrollment ID | O20190425001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275008195 | NPI | - | NPPES |
| 8084662 | Medicaid | CT |
| Provider Name | Josie V Hinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639406630 PECOS PAC ID: 9638216278 Enrollment ID: I20091030000036 |
| Provider Name | Melissa Elek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790010866 PECOS PAC ID: 8224160866 Enrollment ID: I20100719000195 |
| Provider Name | Maria Socci Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730457128 PECOS PAC ID: 5698931970 Enrollment ID: I20120801000264 |
| Provider Name | Laura E Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003388919 PECOS PAC ID: 5092053975 Enrollment ID: I20190219002866 |
| Provider Name | Alexis Marie Larowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801324678 PECOS PAC ID: 2264861152 Enrollment ID: I20200327001075 |
| Provider Name | Jenna Wills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942897350 PECOS PAC ID: 8022422799 Enrollment ID: I20210121001059 |
| Provider Name | Anisa K. Taliercio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962030858 PECOS PAC ID: 7113316621 Enrollment ID: I20211122001713 |
| Provider Name | Amanda Michelle Kobryn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467945246 PECOS PAC ID: 2062802507 Enrollment ID: I20211124000770 |
| Provider Name | Rae L. Legere-reardon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588196752 PECOS PAC ID: 5092105254 Enrollment ID: I20211201002361 |
| Provider Name | Carissa Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841653334 PECOS PAC ID: 2567873474 Enrollment ID: I20230728001688 |
| Provider Name | Andrew Edmund David |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104415462 PECOS PAC ID: 5395188502 Enrollment ID: I20240205002727 |
| Provider Name | Jeffrey Nettle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073238119 PECOS PAC ID: 5395180640 Enrollment ID: I20240227002050 |
| Provider Name | Stephanie Pavlo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144084690 PECOS PAC ID: 8022454636 Enrollment ID: I20240306000477 |
| Provider Name | Kelsie Ann Guerrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619632809 PECOS PAC ID: 4385080910 Enrollment ID: I20240306000954 |
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Alice Kroll Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Quaker Farms Rd, Oxford, CT 06478 Phone: 203-305-1012 Fax: 203-888-5275 | |
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