Watertown Wellness Center LLC
Counselor, Professional in Watertown, Connecticut
1396232187- Practice location
- 116 Georgetown Drive, Watertown, CT 06795
- Phone
- 203-592-7898
- Fax
- —
- Last updated
- April 17, 2018
Watertown Wellness Center LLC is a healthcare organization based in Watertown, CT. Watertown Wellness Center LLC practices in Watertown, CT. The NPI Number for Watertown Wellness Center LLC is 1396232187 and holds a License No. 003013 (CT). The current practice location address for Watertown Wellness Center LLC is 116 Georgetown Drive, Watertown, CT 06795 and can be reached out via phone at 203-592-7898.
Provider Profile Details
- NPI Number
- 1396232187
- Provider Name
- Watertown Wellness Center LLC
- Provider Entity Type
- Organization
- Address
- 116 Georgetown Drive, Watertown, CT 06795
- Phone Number
- 203-592-7898
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Laura Anne Manderino, LPC · Owner/Licensed Psychotherapist · 203-592-7898
- Provider Enumeration Date
- April 17, 2018
- Last Update Date
- April 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 116 Georgetown Drive
Watertown, CT 06795 - City
- Watertown
- State
- Connecticut
- Zip
- 06795
- Phone Number
- 203-592-7898
Provider Business Mailing Address Details
- Address
- 116 Georgetown Dr
Watertown, CT 06795-3349 - City
- Watertown
- State
- CT
- Zip
- 06795-3349
- Phone Number
- 203-592-7898
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- License Number (2)
- 003013
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · 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 Watertown Wellness Center LLC?
The NPI number of Watertown Wellness Center LLC is 1396232187. It was assigned on April 17, 2018 and is currently active in the NPPES registry.
What is the specialty of Watertown Wellness Center LLC?
Watertown Wellness Center LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 003013.
Where does Watertown Wellness Center LLC practice?
The practice location is 116 Georgetown Drive, Watertown, CT 06795. The office can be reached at 203-592-7898 (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 1396232187 directly on the NPPES registry website.