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ROAD TO WELLNESS LLC NPI 1639516032


NPI Information

NPI: 1639516032
Provider Name: ROAD TO WELLNESS, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2911 DIXWELL AVE
SUITE B-5
HAMDEN, CT
ZIP 06518
Phone: (203) 654-1367
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ROAD TO WELLNESS, LLC is an adult mental health clinic center in Hamden, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ROAD TO WELLNESS, LLC NPI is 1639516032. The provider is registered as an organization entity type.

The provider's business location address is:

2911 DIXWELL AVE
SUITE B-5
HAMDEN, CT
ZIP 06518-195
Phone: (203) 654-1367
Fax: (203) 889-4926

The provider's authorized official is Aleesha Denise Grier-rogers .
The authorized official title is Manager/owner and has the following contact phone number (203) 654-1367.

The enumeration date for this NPI number is 5/27/2013 and was last updated on 5/27/2013.


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
1261QM0850XClinic/CenterAdult Mental Health003271CONNECTICUTYes

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: 11/14/2023

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