Connect Wellness Pllc

LBN: Connect Wellness Pllc
Connect Wellness Pllc is an health care organization with primary practice located at 2416 E Washington St Ste G , Bloomington IL 61704-1612. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Connect Wellness Pllc can be contacted via phone (309) 261-1102, or through Gibb, Jennifer via phone (309) 261-1102.

Contact Information

Primary practice address
2416 E Washington St Ste G Bloomington IL 61704-1612
Phone: (309) 261-1102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gibb, Jennifer APN, FNP-BC, PMHNP
Phone: (309) 261-1102

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1427802545
LBN Legal business name Connect Wellness Pllc
DBA Doing business as
Authorized official Gibb, Jennifer APN, FNP-BC, PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2024
Last updated Apr 17th, 2024 - about 8 months 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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