| Tmw Wellness Pllc | |
|
504 Wolcott Rd Ste C Wolcott CT 06716-2462 | |
| (203) 504-9507 | |
| Not Available |
| Full Name | Tmw Wellness Pllc |
|---|---|
| Speciality | Counselor |
| Location | 504 Wolcott Rd Ste C, Wolcott, Connecticut |
| Authorized Official Name and Position | Shivanna Subramni-gonzalez (CMO) |
| Authorized Official Contact | 2037255339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmw Wellness Pllc 504 Wolcott Rd Ste C Wolcott CT 06716-2462 Ph: () - | Tmw Wellness Pllc 504 Wolcott Rd Ste C Wolcott CT 06716-2462 Ph: (203) 504-9507 |
| NPI Number | 1700580198 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 7012366180 |
|---|---|
| Medicare Enrollment ID | O20231214001556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700580198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shivanna Subramani-gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457758179 PECOS PAC ID: 4486979408 Enrollment ID: I20150216001827 |
| Provider Name | Jeffrey Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285405928 PECOS PAC ID: 3577916774 Enrollment ID: I20240124001228 |
| Provider Name | Melynda Ramona Cabrera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811329246 PECOS PAC ID: 7719330729 Enrollment ID: I20240329000373 |
Kristen Bessette Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Pembroke Hill Road, Wolcott, CT 06716 Phone: 203-805-5367 | |
Charter Oak Therapeutic Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Wolcott Rd Ste 2, Wolcott, CT 06716 Phone: 860-863-6342 | |
Grey Street Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Wolcott Rd Ste D, Wolcott, CT 06716 Phone: 203-441-7557 | |
Collaborative Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Wolcott Rd., Wolcott, CT 06716 Phone: 203-879-4424 Fax: 203-879-4442 | |
A New Perspective Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Jenny Ln, Wolcott, CT 06716 Phone: 203-704-6417 | |
Collaborative Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 Wolcott Rd, Wolcott, CT 06716 Phone: 203-879-4424 Fax: 203-879-4442 | |
Overcoming Life's Obstacles Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Wolcott Rd, Suite B, Wolcott, CT 06716 Phone: 203-805-9919 |