| Vacillate Then Elevate Wellness Center Llc | |
|
182b Caroline St Derby CT 06418-1914 | |
| (475) 228-0537 | |
| Not Available |
| Full Name | Vacillate Then Elevate Wellness Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 182b Caroline St, Derby, Connecticut |
| Authorized Official Name and Position | Breahnna Thompson (OWNER/LCSW) |
| Authorized Official Contact | 4752280537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vacillate Then Elevate Wellness Center Llc 167 Cherry St Ste 265 Milford CT 06460-3466 Ph: (475) 228-0537 | Vacillate Then Elevate Wellness Center Llc 182b Caroline St Derby CT 06418-1914 Ph: (475) 228-0537 |
| NPI Number | 1598645863 |
|---|---|
| Provider Enumeration Date | 09/05/2025 |
| Last Update Date | 09/05/2025 |
| Certification Date | 09/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598645863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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