| Integrative Health And Healing Llc | |
|
555 Highland Ave Cheshire CT 06410-2205 | |
| (203) 668-9648 | |
| Not Available |
| Full Name | Integrative Health And Healing Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 Highland Ave, Cheshire, Connecticut |
| Authorized Official Name and Position | Judy K Hennessy (OWNER) |
| Authorized Official Contact | 2036689648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Health And Healing Llc Po Box 185884 Hamden CT 06518-0884 Ph: (203) 668-9648 | Integrative Health And Healing Llc 555 Highland Ave Cheshire CT 06410-2205 Ph: (203) 668-9648 |
| NPI Number | 1346873346 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Medicare PECOS PAC ID | 0840612768 |
|---|---|
| Medicare Enrollment ID | O20200623002410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346873346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Judy K Hennessy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356733778 PECOS PAC ID: 9739400482 Enrollment ID: I20150605001554 |
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