Stony Creek Wellness Group, LLC
Nurse Practitioner, Psych/Mental Health in Guilford, Connecticut
1598209116- Practice location
- 2415 Boston Post RD, Unit 12, Guilford, CT 06437-4348
- Phone
- 203-693-4566
- Fax
- 203-457-5970
- Last updated
- December 16, 2016
Stony Creek Wellness Group, LLC is a healthcare organization based in Guilford, CT. Stony Creek Wellness Group, LLC practices in Guilford, CT. The NPI Number for Stony Creek Wellness Group, LLC is 1598209116 and holds a License No. 1922 (CT). The current practice location address for Stony Creek Wellness Group, LLC is 2415 Boston Post RD, Unit 12, Guilford, CT 06437-4348 and can be reached out via phone at 203-693-4566 and via fax at 203-457-5970.
Provider Profile Details
- NPI Number
- 1598209116
- Provider Name
- Stony Creek Wellness Group, LLC
- Provider Entity Type
- Organization
- Address
- 2415 Boston Post RD, Unit 12, Guilford, CT 06437-4348
- Phone Number
- 203-693-4566
- Fax Number
- 203-457-5970
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Tricia L Mignosa, APRN · Owner · 203-693-4566
- Provider Enumeration Date
- December 16, 2016
- Last Update Date
- December 16, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2415 Boston Post RD
Unit 12
Guilford, CT 06437-4348 - City
- Guilford
- State
- Connecticut
- Zip
- 06437-4348
- Phone Number
- 203-693-4566
- Fax Number
- 203-457-5970
Provider Business Mailing Address Details
- Address
- 2415 Boston Post RD
Unit 12
Guilford, CT 06437-4348 - City
- Guilford
- State
- CT
- Zip
- 06437-4348
- Phone Number
- 203-693-4566
- Fax Number
- 203-457-5970
License Information
- License Number (1)
- 1922
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Professional · 101YP2500X
- License Number (2)
- 9481
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 5763
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Stony Creek Wellness Group, LLC?
The NPI number of Stony Creek Wellness Group, LLC is 1598209116. It was assigned on December 16, 2016 and is currently active in the NPPES registry.
What is the specialty of Stony Creek Wellness Group, LLC?
Stony Creek Wellness Group, LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 1922.
Where does Stony Creek Wellness Group, LLC practice?
The practice location is 2415 Boston Post RD, Unit 12, Guilford, CT 06437-4348. The office can be reached at 203-693-4566 (phone) or 203-457-5970 (fax).
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 1598209116 directly on the NPPES registry website.