| Wolf Spirit Wellness And Counseling Center, Llc | |
|
125 Main St N Ste 2b Woodbury CT 06798-2953 | |
| (203) 263-3175 | |
| (844) 364-2702 |
| Full Name | Wolf Spirit Wellness And Counseling Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 125 Main St N Ste 2b, Woodbury, Connecticut |
| Authorized Official Name and Position | Julie A Levesque (THERAPIST) |
| Authorized Official Contact | 2032633175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf Spirit Wellness And Counseling Center, Llc 236 Washington Rd Woodbury CT 06798-2807 Ph: (203) 263-3175 | Wolf Spirit Wellness And Counseling Center, Llc 125 Main St N Ste 2b Woodbury CT 06798-2953 Ph: (203) 263-3175 |
| NPI Number | 1710480520 |
|---|---|
| Provider Enumeration Date | 03/18/2018 |
| Last Update Date | 03/18/2018 |
| Medicare PECOS PAC ID | 0244604114 |
|---|---|
| Medicare Enrollment ID | O20230315001744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710480520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3416 (Connecticut) | Primary |
| Provider Name | Lori Pelosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649521352 PECOS PAC ID: 2668624578 Enrollment ID: I20121128000425 |
| Provider Name | Rachel L Grahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356322069 PECOS PAC ID: 5496853467 Enrollment ID: I20230518001400 |
| Provider Name | Julie Levesque |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083117899 PECOS PAC ID: 2860844453 Enrollment ID: I20240119000140 |
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