Southbury Wellness Center, Llc

LBN: Southbury Wellness Center, Llc
Southbury Wellness Center, Llc is an health care organization with primary practice located at 2 Pomperaug Office Park Ste 206 , Southbury CT 06488-2291. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southbury Wellness Center, Llc can be contacted via phone (203) 915-7688, or through Sullivan, Rebecha via phone (203) 915-7688.

Contact Information

Primary practice address
2 Pomperaug Office Park Ste 206 Southbury CT 06488-2291
Phone: (203) 915-7688
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Rebecha Licensed Clinical Social Worker (LCSW)
Phone: (203) 915-7688

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1508529173
LBN Legal business name Southbury Wellness Center, Llc
DBA Doing business as
Authorized official Sullivan, Rebecha Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2021
Last updated Oct 20th, 2021 - about 4 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 1508529173 NPPES
Connecticut MEDICAID 1255641072

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