| Willow Tree Wellness | |
|
132 Main St Ste 2a Southington CT 06489-2561 | |
| (860) 276-4459 | |
| Not Available |
| Full Name | Willow Tree Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 132 Main St Ste 2a, Southington, Connecticut |
| Authorized Official Name and Position | Katie Bassoli (PARTNER) |
| Authorized Official Contact | 8608784367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Wellness 132 Main St Ste 2a Southington CT 06489-2561 Ph: (860) 878-4367 | Willow Tree Wellness 132 Main St Ste 2a Southington CT 06489-2561 Ph: (860) 276-4459 |
| NPI Number | 1720555642 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 06/10/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 2860974730 |
|---|---|
| Medicare Enrollment ID | O20260302000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720555642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 106H00000X | Marriage & Family Therapist | (NU) | Secondary |
| Provider Name | Karen a Daigle Destefano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679710164 PECOS PAC ID: 9830535921 Enrollment ID: I20260323002422 |
| Provider Name | Jennfer E Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528433232 PECOS PAC ID: 8921578568 Enrollment ID: I20260526000676 |
Thomas Finn, Ph.d., P.C. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 N Main St, Southington, CT 06489 Phone: 860-628-6523 |
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Wilcox Wellness, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 N Summit St, Southington, CT 06489 Phone: 860-266-6098 |
Healing Beyond Words Counseling, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 672 Queen St # 1118, Southington, CT 06489 Phone: 203-441-5651 |