| Mood Institute Pllc | |
|
472 Wheelers Farms Rd Ste 306 Milford CT 06461-9109 | |
| (203) 701-9737 | |
| Not Available |
| Full Name | Mood Institute Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 472 Wheelers Farms Rd Ste 306, Milford, Connecticut |
| Authorized Official Name and Position | Lisa Marie Harding (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2037019737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mood Institute Pllc 472 Wheelers Farms Rd Ste 306 Milford CT 06461-9109 Ph: (203) 701-9737 | Mood Institute Pllc 472 Wheelers Farms Rd Ste 306 Milford CT 06461-9109 Ph: (203) 701-9737 |
| NPI Number | 1104440098 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 4082039375 |
|---|---|
| Medicare Enrollment ID | O20200804000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104440098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lisa Harding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629427778 PECOS PAC ID: 7719271451 Enrollment ID: I20200804000824 |
| Provider Name | Terrell David Holloway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306342712 PECOS PAC ID: 3779959309 Enrollment ID: I20221021001539 |
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