Elation Wellness
NPI #1487109252 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1487109252
- Entity Type
- Organization
- Organization Name
- Elation Wellness
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 22, 2016
- Last Updated
- Apr 2, 2018
Practice Location
- Address
- 1057 BROAD ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06604-4219
- Phone
- (860) 661-2925
Authorized Official
- Name
- MRS. MARIA CAMILA SMITH, LCSW
- Title
- CLINICIAN
- Phone
- (203) 308-7835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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| Kaila Prakuson, LCSW |
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