PSYCHIATRIC WELLNESS CARE, LLC; NPI #1891454765

Contact Information

PSYCHIATRIC WELLNESS CARE, LLC

18 JUNIPER LANE
WEST HARTFORD, CT 06117

Phone: 860-414-4787
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Mental Health	261QM0850X

Indicates primary specialty

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NPI Profile & details for PSYCHIATRIC WELLNESS CARE, LLC

NPI Number	`1891454765`
LBN Legal business name	PSYCHIATRIC WELLNESS CARE, LLC
Authorized official	CLARISSE FAIRBANKS - (OWNER, AUTHORIZED OFFICIAL)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/08/2021
Last updated	07/01/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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