| Behavioral Health & Wellness, Llc | |
|
3013 Dixwell Ave Hamden CT 06518-3527 | |
| (203) 400-1884 | |
| Not Available |
| Full Name | Behavioral Health & Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3013 Dixwell Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Jessica Marshall (OWNER) |
| Authorized Official Contact | 2034001884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health & Wellness, Llc 3013 Dixwell Ave Hamden CT 06518-3527 Ph: (203) 400-1884 | Behavioral Health & Wellness, Llc 3013 Dixwell Ave Hamden CT 06518-3527 Ph: (203) 400-1884 |
| NPI Number | 1760149447 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 6608233960 |
|---|---|
| Medicare Enrollment ID | O20230601002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760149447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Kathleen Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700194271 PECOS PAC ID: 6204111859 Enrollment ID: I20170321002595 |
| Provider Name | Nicole Weld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366963704 PECOS PAC ID: 3577836386 Enrollment ID: I20170830000828 |
| Provider Name | Lorena Rivera Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972110864 PECOS PAC ID: 6204298656 Enrollment ID: I20230816002976 |
| Provider Name | Katelyn Matuska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265116602 PECOS PAC ID: 5294199105 Enrollment ID: I20230911004211 |
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