STRAVADA WELLNESS CARE LLC (NPI# 1114526688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114526688 |
| Entity Type | Organization |
| Organization Name | STRAVADA WELLNESS CARE LLC |
| Practice Address |
203 Broad St Unit C-4 Milford CT 06460-4750 |
| Mailing Address |
262 Seaside Ave Milford CT 06460-4602 |
| Practice Telephone | 4132189839 |
| Mailing Telephone | 4132189839 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Authorized Official Name | MARIA KOURSARIS (APRN) |
| Authorized Official Telephone | 4132189839 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
203 BROAD ST UNIT C-4 |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346327590 | Eve Harrison | Social Worker | 203 Broad St Unit C-4, Milford, CT 06460-4750 | 2006-11-01 |
| 1205446671 | Motivating Change Counseling, LLC | Counselor | 203 Broad St Unit C-4, Milford, CT 06460-4750 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1538561832 | Comprehensive Occupational Medical Associates of Connecticut P C | Clinic/Center | 201 Tresser Blvd Bldg Lobby, Stamford, CT 06901-3432 | 2014-09-18 |
| 1083214407 | Neuropathy Treatment Center LLC | Clinic/Center | 132 Federal Rd Ste 103, Danbury, CT 06811-4047 | 2020-10-26 |
| 1417475252 | Community Econsult Network, Inc. | Clinic/Center | 631 Main St, Middletown, CT 06457-2762 | 2017-08-31 |
| 1659779452 | Caring Hands Therapy Services LLC | Clinic/Center | 126 Carey Ave, Meriden, CT 06451-1907 | 2014-12-09 |
| 1992135396 | Margo Ruth Gross LLC | Clinic/Center | 15 Poverty Hollow Rd, 27 Governors Street, Riddgefield, Ct 06877, Redding, CT 06896-3005 | 2013-11-21 |
| 1750635967 | Complete In-home Therapy LLC | Clinic/Center | 430 Mansfield Rd, Ashford, CT 06278-1416 | 2012-11-09 |
| Find all providers with the same taxonomy | ||||
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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.