| Sound Health And Wellness Llc | |
|
66 N Main St Branford CT 06405-3032 | |
| (203) 804-9448 | |
| Not Available |
| Full Name | Sound Health And Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 66 N Main St, Branford, Connecticut |
| Authorized Official Name and Position | Suzanne Mccoll (OWNER) |
| Authorized Official Contact | 2038049448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Health And Wellness Llc 66 N Main St Branford CT 06405-3032 Ph: () - | Sound Health And Wellness Llc 66 N Main St Branford CT 06405-3032 Ph: (203) 804-9448 |
| NPI Number | 1093223026 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 9032562889 |
|---|---|
| Medicare Enrollment ID | O20240128000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093223026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001436 (Connecticut) | Primary |
| Provider Name | Suzanne Champagne Mccoll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306077326 PECOS PAC ID: 0941653794 Enrollment ID: I20240128000110 |
| Provider Name | Austin Phelan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386267946 PECOS PAC ID: 6709220015 Enrollment ID: I20240214003221 |
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