Shore Wellness CT
Community/Behavioral Health in Madison, Connecticut
1316464191- Practice location
- 85B Wall St, Madison, CT 06443-3121
- Phone
- 203-896-0101
- Fax
- —
- Last updated
- August 23, 2017
Shore Wellness CT is a healthcare organization based in Madison, CT. Shore Wellness CT practices in Madison, CT. The NPI Number for Shore Wellness CT is 1316464191. The current practice location address for Shore Wellness CT is 85B Wall St, Madison, CT 06443-3121 and can be reached out via phone at 203-896-0101.
Provider Profile Details
- NPI Number
- 1316464191
- Provider Name
- Shore Wellness CT
- Provider Entity Type
- Organization
- Address
- 85B Wall St, Madison, CT 06443-3121
- Phone Number
- 203-896-0101
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Erica Baloga, LMFT · Clinician · 203-896-0101
- Provider Enumeration Date
- August 23, 2017
- Last Update Date
- August 23, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85B Wall St
Madison, CT 06443-3121 - City
- Madison
- State
- Connecticut
- Zip
- 06443-3121
- Phone Number
- 203-896-0101
Provider Business Mailing Address Details
- Address
- 210 Pine St Apt 315
Manchester, CT 06040-8418 - City
- Manchester
- State
- CT
- Zip
- 06040-8418
- Phone Number
- 860-759-8346
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shore Wellness CT?
The NPI number of Shore Wellness CT is 1316464191. It was assigned on August 23, 2017 and is currently active in the NPPES registry.
What is the specialty of Shore Wellness CT?
Shore Wellness CT is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Shore Wellness CT practice?
The practice location is 85B Wall St, Madison, CT 06443-3121. The office can be reached at 203-896-0101 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316464191 directly on the NPPES registry website.