National Provider Identifier Database

PSYCHIATRIC WELLNESS CARE LLC
Adult Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.


Contact Information

PSYCHIATRIC WELLNESS CARE, LLC
18 JUNIPER LANE
WEST HARTFORD, CT06117
Phone: 860-414-4787
Fax:
Website:
Specialty Taxonomy Code
* Adult Mental Health 261QM0850X

* Indicates primary specialty

NPI Profile & details for PSYCHIATRIC WELLNESS CARE, LLC

NPI Number 1891454765
Legal business name
LBN
PSYCHIATRIC WELLNESS CARE, LLC
Authorized official CLARISSE FAIRBANKS - (OWNER, AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 12/08/2021
Last updated 07/01/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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