| One Accord Wellness Center Llc | |
|
991 Main St Unit 207 Bridgeport CT 06604-4258 | |
| (203) 308-7103 | |
| Not Available |
| Full Name | One Accord Wellness Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 991 Main St Unit 207, Bridgeport, Connecticut |
| Authorized Official Name and Position | H'vanna Samuels (OWNER/OPERATOR) |
| Authorized Official Contact | 2033087103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Accord Wellness Center Llc 95 Fountain St Unit 3092 New Haven CT 06515-7710 Ph: () - | One Accord Wellness Center Llc 991 Main St Unit 207 Bridgeport CT 06604-4258 Ph: (203) 308-7103 |
| NPI Number | 1376282392 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376282392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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