Healthcare Provider Details

I. General information

NPI: 1952126534
Provider Name (Legal Business Name): HEAL WITH ME POSTPARTUM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MARIE LN
WALLINGFORD CT
06492-1935
US

IV. Provider business mailing address

14 MARIE LN
WALLINGFORD CT
06492-1935
US

V. Phone/Fax

Practice location:
  • Phone: 203-815-3688
  • Fax:
Mailing address:
  • Phone: 203-815-3688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALYSSA IONITA
Title or Position: CEO
Credential:
Phone: 203-815-3688