| Whole Health Wellness, Llc | |
|
139 Mill Rock Rd E Unit 1522 Old Saybrook CT 06475 | |
| (860) 662-1933 | |
| Not Available |
| Full Name | Whole Health Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 139 Mill Rock Rd E Unit 1522, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Jennifer S Bosco (MEMBER/OWNER) |
| Authorized Official Contact | 8606621933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Health Wellness, Llc 7 N Main St Unit 1522 Old Saybrook CT 06475-4244 Ph: (860) 662-1933 | Whole Health Wellness, Llc 139 Mill Rock Rd E Unit 1522 Old Saybrook CT 06475 Ph: (860) 662-1933 |
| NPI Number | 1508160631 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508160631 | NPI | - | NPPES |
| 008026193 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 001695 (Connecticut) | Primary |
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