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RELEASE WELLNESS NPI 1255849725


NPI Information

NPI: 1255849725
Provider Name: RELEASE WELLNESS

Doing Business As: RELEASE WELLNESS

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
805 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06119
Phone: (860) 937-6210
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RELEASE WELLNESS is a professional counselor in West Hartford, CT. RELEASE WELLNESS NPI is 1255849725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Release Wellness.

The provider's business location address is:

805 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06119-670
Phone: (860) 937-6210

The provider's authorized official is Andrea L Lovell .
The authorized official title is Owner Counselor/therapist and has the following contact phone number (860) 937-6210.

The enumeration date for this NPI number is 1/17/2018 and was last updated on 1/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional2883CONNECTICUTYes
2251E00000XHome Health2883CONNECTICUTNo
3261QM0850XClinic/CenterAdult Mental Health2883CONNECTICUTNo
4261QM0855XClinic/CenterAdolescent and Children Mental Health2883CONNECTICUTNo
5261QM1300XClinic/CenterMulti-Specialty2883CONNECTICUTNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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