WATERTOWN WELLNESS CENTER LLC (NPI# 1396232187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396232187 |
| Entity Type | Organization |
| Organization Name | WATERTOWN WELLNESS CENTER LLC |
| Practice Address |
116 Georgetown Drive Watertown CT 06795 |
| Mailing Address |
116 Georgetown Dr Watertown CT 06795-3349 |
| Practice Telephone | 2035927898 |
| Mailing Telephone | 2035927898 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | LAURA ANNE MANDERINO (OWNER/LICENSED PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2035927898 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
003013 | CT | Behavioral Health & Social Service Providers |
| Street Address |
116 GEORGETOWN DRIVE |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1821348871 | Pamela D Siemon | Social Worker | 51 Depot St Ste 207, Watertown, CT 06795 | 2012-09-18 |
| 1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
| 1083919757 | Connecticut Music Therapy Services, LLC | Music Therapist | 51 Depot St., Suite 214, Watertown, CT 06795 | 2011-01-11 |
| 1083841456 | Erica Lee Opromollo | Social Worker | 35 Scott Ave, Watertown, CT 06795 | 2009-06-12 |
| 1033306816 | Stone Chiropractic LLC | Chiropractor | 51 Depot Square, Watertown, CT 06795 | 2007-09-26 |
| 1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| 1417344607 | Peter Anthony Ferrante | Podiatrist | 777 Echo Lake Rd Unit F, Watertown, CT 06795 | 2015-04-25 |
| 1942414081 | Town and Country Pediatrics and Family Medicine, P.C. | Family Medicine | 380 Main Street, Watertown, CT 06795 | 2007-05-09 |
| Find all providers in zip 06795 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1902445505 | Tiffany Michelle Rollo | Counselor | 680 Main St Ste 305, Watertown, CT 06795-2656 | 2019-12-30 |
| 1366008617 | Couples Therapy Inc. | Counselor | 204 Arsenal St, Watertown, MA 02472-2781 | 2019-05-13 |
| 1720596489 | May You Find Peace LLC | Counselor | 116 Georgetown Dr, Watertown, CT 06795-3349 | 2018-01-16 |
| 1215203427 | Douglas Charles Schefft | Counselor | 916 Edgewater Ct, Watertown, WI 53098-1709 | 2012-04-02 |
| 1336475474 | Sharon M Hass | Counselor | 708 Cobblestone Way, Watertown, WI 53094-6068 | 2009-10-24 |
| 1679809164 | Elizabeth A Wilson | Counselor | 120 Washington St Ste 312, Watertown, NY 13601-3330 | 2009-10-19 |
| 1528253796 | Lori Ann Redlinger | Counselor | 420 4th St Ne, Watertown, SD 57201-2659 | 2007-09-11 |
| 1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
| 1528107778 | Ann Marie Long Seglin | Counselor | 174 Mt. Auburn Street, Watertown, MA 02472 | 2007-02-05 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.