Backcountry Wellness LLC
Clinic/Center, Adolescent and Children Mental Health in Greenwich, Connecticut
1568959815- Practice location
- 7 Lincoln Avenue, Greenwich, CT 06830
- Phone
- 203-992-1700
- Fax
- —
- Last updated
- March 4, 2021
Backcountry Wellness LLC is a healthcare organization based in Greenwich, CT. Backcountry Wellness LLC practices in Greenwich, CT. The NPI Number for Backcountry Wellness LLC is 1568959815 and holds a License No. CT006838 (CT). The current practice location address for Backcountry Wellness LLC is 7 Lincoln Avenue, Greenwich, CT 06830 and can be reached out via phone at 203-992-1700.
Provider Profile Details
- NPI Number
- 1568959815
- Provider Name
- Backcountry Wellness LLC
- Provider Entity Type
- Organization
- Address
- 7 Lincoln Avenue, Greenwich, CT 06830
- Phone Number
- 203-992-1700
- Primary Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Organization Subpart
- No
- Authorized Official
- Ms. Joann S. Bronfman, LCSW, PSYD · Owner/Director · 914-755-6472
- Provider Enumeration Date
- April 21, 2018
- Last Update Date
- March 4, 2021
- Certification Date
- September 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Lincoln Avenue
Greenwich, CT 06830 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830
- Phone Number
- 203-992-1700
Provider Business Mailing Address Details
- Address
- 7 Lincoln Avenue
Greenwich, CT 06830 - City
- Greenwich
- State
- CT
- Zip
- 06830
- Phone Number
- 203-992-1700
License Information
- License Number (1)
- CT006838
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · 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 Backcountry Wellness LLC?
The NPI number of Backcountry Wellness LLC is 1568959815. It was assigned on April 21, 2018 and is currently active in the NPPES registry.
What is the specialty of Backcountry Wellness LLC?
Backcountry Wellness LLC is registered under the primary taxonomy Clinic/Center, Adolescent and Children Mental Health (code 261QM0855X), licensed in CT under license number CT006838.
Where does Backcountry Wellness LLC practice?
The practice location is 7 Lincoln Avenue, Greenwich, CT 06830. The office can be reached at 203-992-1700 (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 1568959815 directly on the NPPES registry website.