Women Family Health & Wellness Llc | |
10 Juniper Dr North Haven CT 06473-3509 | |
(203) 500-6152 | |
Not Available |
Full Name | Women Family Health & Wellness Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 10 Juniper Dr, North Haven, Connecticut |
Authorized Official Name and Position | Sursatie Chetram (PRESIDENT) |
Authorized Official Contact | 2035006152 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Women Family Health & Wellness Llc Po Box 211 North Haven CT 06473-0211 Ph: (203) 500-6152 | Women Family Health & Wellness Llc 10 Juniper Dr North Haven CT 06473-3509 Ph: (203) 500-6152 |
NPI Number | 1386314888 |
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Provider Enumeration Date | 09/15/2021 |
Last Update Date | 09/15/2021 |
Certification Date | 09/15/2021 |
Medicare PECOS PAC ID | 6709225998 |
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Medicare Enrollment ID | O20240422000438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386314888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Sursatie Devi Chetram |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1235639444 PECOS PAC ID: 0244679439 Enrollment ID: I20240422000498 |
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