| Sparrows Worth Wellness Services | |
| 
					17 Hickory Ln Waterford CT 06385-4233  | |
| (860) 334-6411 | |
| Not Available | 
| Full Name | Sparrows Worth Wellness Services | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 17 Hickory Ln, Waterford, Connecticut | 
| Authorized Official Name and Position | Chanel Krauth (OWNER) | 
| Authorized Official Contact | 8603346411 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sparrows Worth Wellness Services 17 Hickory Ln Waterford CT 06385-4233 Ph: (860) 334-6411  | Sparrows Worth Wellness Services 17 Hickory Ln Waterford CT 06385-4233 Ph: (860) 334-6411  | 
| NPI Number | 1386214864 | 
|---|---|
| Provider Enumeration Date | 06/28/2021 | 
| Last Update Date | 06/28/2021 | 
| Certification Date | 06/28/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386214864 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
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