Tmw Wellness Pllc
NPI #1912601402 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1912601402
- Entity Type
- Organization
- Organization Name
- Tmw Wellness Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE MODERN WOMAN HEALTH & WELLNESS CENTER PLLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 28, 2023
- Last Updated
- Mar 29, 2023
Practice Location
- Address
- 504 WOLCOTT RD
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-2461
- Phone
- (203) 504-9507
Authorized Official
- Name
- SHIVANNA SUBRAMANI-GONZALEZ, FNP
- Title
- CMO
- Phone
- (203) 725-5339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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