Azalea Counseling & Wellness, Llc

LBN: Azalea Counseling & Wellness, Llc
Azalea Counseling & Wellness, Llc is an health care organization with primary practice located at 100 Market Sq Suite 16A, Newington CT 06111-2921. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Azalea Counseling & Wellness, Llc can be contacted via phone (860) 888-2516, or through Brady, Jennifer Elizabeth via phone (860) 888-2516.

Contact Information

Primary practice address
100 Market Sq Suite 16A Newington CT 06111-2921
Phone: (860) 888-2516
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brady, Jennifer Elizabeth Licensed Clinical Social Worker (LCSW)
Phone: (860) 888-2516

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 008089 Connecticut

Profile Details

NPI number 1003209115
LBN Legal business name Azalea Counseling & Wellness, Llc
DBA Doing business as
Authorized official Brady, Jennifer Elizabeth Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2015
Last updated Apr 26th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003209115 NPPES
Connecticut MEDICAID 004025193

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