| Connections Counseling And Wellness, Llc | |
|
6800 Poplar Ave Ste 208 Germantown TN 38138-7456 | |
| (901) 515-6165 | |
| Not Available |
| Full Name | Connections Counseling And Wellness, Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 6800 Poplar Ave Ste 208, Germantown, Tennessee |
| Authorized Official Name and Position | Brittin Shalom Palmer (CEO) |
| Authorized Official Contact | 5306231362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connections Counseling And Wellness, Llc 6800 Poplar Ave Ste 208 Germantown TN 38138-7456 Ph: () - | Connections Counseling And Wellness, Llc 6800 Poplar Ave Ste 208 Germantown TN 38138-7456 Ph: (901) 515-6165 |
| NPI Number | 1275349516 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/24/2024 |
| Certification Date | 12/24/2024 |
| Medicare PECOS PAC ID | 9739606500 |
|---|---|
| Medicare Enrollment ID | O20250506000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275349516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
| Provider Name | Brittin Shalom Palmer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326245622 PECOS PAC ID: 1254861792 Enrollment ID: I20250506001218 |
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