Elation Wellness

LBN: Elation Wellness
Elation Wellness is an health care organization with primary practice located at 1057 Broad St , Bridgeport CT 06604-4219. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Elation Wellness can be contacted via phone (860) 661-2925, or through Smith, Maria Camila via phone (203) 308-7835.

Contact Information

Primary practice address
1057 Broad St Bridgeport CT 06604-4219
Phone: (860) 661-2925
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Maria Camila Licensed Clinical Social Worker (LCSW)
Phone: (203) 308-7835

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1487109252
LBN Legal business name Elation Wellness
DBA Doing business as
Authorized official Smith, Maria Camila Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2016
Last updated Apr 2nd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487109252 NPPES
Connecticut MEDICAID 004235918

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