Weave Your Life Llc

LBN: Weave Your Life Llc
Weave Your Life Llc is an health care organization with primary practice located at 963 Queen St Suite C, Southington CT 06489-1282. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Weave Your Life Llc can be contacted via phone (860) 819-8570, or through Bennett, Audrey L via phone (860) 819-8570.

Contact Information

Primary practice address
963 Queen St Suite C Southington CT 06489-1282
Phone: (860) 819-8570
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Audrey L
Phone: (860) 819-8570

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006194 Connecticut
Agencies / Community/Behavioral Health 251S00000X 006194 Connecticut
Agencies / Community/Behavioral Health 251S00000X 000729 Connecticut

Profile Details

NPI number 1104149293
LBN Legal business name Weave Your Life Llc
DBA Doing business as
Authorized official Bennett, Audrey L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2010
Last updated Aug 13th, 2012 - about 14 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 1104149293 NPPES
Connecticut MEDICAID 008040743

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