Healthcare Provider Details

I. General information

NPI: 1780748012
Provider Name (Legal Business Name): HEALTHWAYS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date: 09/17/2007
Reactivation Date: 06/23/2008

III. Provider practice location address

435 E MAIN ST
ANSONIA CT
06401-1964
US

IV. Provider business mailing address

435 E MAIN ST PO BOX 658
ANSONIA CT
06401-1964
US

V. Phone/Fax

Practice location:
  • Phone: 203-736-2601
  • Fax: 203-736-2641
Mailing address:
  • Phone: 203-736-2601
  • Fax: 203-736-2641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCT

VIII. Authorized Official

Name: MS. MARILYN MCMELLON- CORMACK
Title or Position: PRESIDENT, CEO
Credential:
Phone: 203-736-2601