| Integrated Wellness Group, Llc | |
|
446a Blake Street Suite 200 New Haven CT 06515-2216 | |
| (203) 387-9400 | |
| (888) 772-2160 |
| Full Name | Integrated Wellness Group, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 446a Blake Street, New Haven, Connecticut |
| Authorized Official Name and Position | Maysa Akbar (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2033879400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wellness Group, Llc 446a Blake St Suite 200 New Haven CT 06515-1286 Ph: (203) 387-9400 | Integrated Wellness Group, Llc 446a Blake Street Suite 200 New Haven CT 06515-2216 Ph: (203) 387-9400 |
| NPI Number | 1003096744 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 09/09/2010 |
| Medicare PECOS PAC ID | 3476639600 |
|---|---|
| Medicare Enrollment ID | O20080327000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003096744 | NPI | - | NPPES |
| Provider Name | Cecilia T Rowland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609810498 PECOS PAC ID: 9436161866 Enrollment ID: I20060628000309 |
| Provider Name | Erica Crawford Holahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003321951 PECOS PAC ID: 1153655113 Enrollment ID: I20190625001265 |
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