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Camellia Place Healthcare Services Llc
Primary Care Nurse Practitioner in Newington, Connecticut
NPI 1447812250

Camellia Place Healthcare Services Llc is a Primary Care Nurse Practitioner based in Meriden, CT and is specialized in Primary Care. Camellia Place Healthcare Services Llc practices in Newington, CT. The NPI Number for Camellia Place Healthcare Services Llc is 1447812250 and holds a License No. (Connecticut).

The current practice location address for Camellia Place Healthcare Services Llc is 100 Market Sq Ste 12, Newington, CT and can be reached out via phone at 860-322-1011.

Location: 100 Market Sq Ste 12, Newington, CT, 06450-7403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447812250
Provider Name
Camellia Place Healthcare Services Llc
Credential
Provider Entity Type
Organization
Address
100 Market Sq Ste 12, Newington, CT, 06450-7403
Phone Number
860-322-1011
Fax Number
Provider Enumeration Date
07/01/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
100 Market Sq Ste 12
City
Newington
State
Connecticut
Zip
06111-2921
Phone Number
860-322-1011
Fax Number
person
Provider Business Mailing Address Details
Address
100 Market Sq Ste 12
City
Newington
State
Connecticut
Zip
06111-2921
Phone Number
860-322-1011
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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