PSYCHIATRIC WELLNESS CARE LLC NPI 1891454765

NPI Information

  • NPI: 1891454765
  • Provider Name: PSYCHIATRIC WELLNESS CARE, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 18 JUNIPER LANE
    WEST HARTFORD, CT
    ZIP 06117
  • Phone: (860) 414-4787

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NPI Details

PSYCHIATRIC WELLNESS CARE, LLC is an adult mental health clinic center in West Hartford, 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. PSYCHIATRIC WELLNESS CARE, LLC NPI is 1891454765. The provider is registered as an organization entity type.

The provider's business location address is:

18 JUNIPER LANE
WEST HARTFORD, CT
ZIP 06117
Phone: (860) 414-4787

The provider's authorized official is Clarisse Fairbanks .
The authorized official title is Owner, Authorized Official and has the following contact phone number (860) 414-4787.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 7/1/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 11/21/2025

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