| Omata LLC | |
|
1 Fellows Rd Apt 47 Oakdale CT 06370-1624 | |
| (860) 334-5900 | |
| Not Available |
| Full Name | Omata LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1 Fellows Rd Apt 47, Oakdale, Connecticut |
| Authorized Official Name and Position | Morgan Ann Ajello (OWNER) |
| Authorized Official Contact | 8603345900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omata LLC 1 Fellows Rd Apt 47 Oakdale CT 06370-1624 Ph: (860) 334-5900 | Omata LLC 1 Fellows Rd Apt 47 Oakdale CT 06370-1624 Ph: (860) 334-5900 |
| NPI Number | 1689163388 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689163388 | NPI | - | NPPES |
| 46.003444 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 46.003444 (Connecticut) | Secondary |
Anchoraba LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Daisy Hill Rd, Oakdale, CT 06370 Phone: 410-271-1380 |