Tmw Wellness PLLC
NPI 1700580198ActiveOrganization· Counselor, Mental Health· Wolcott, CT
Counselor, Mental Health in Wolcott, Connecticut, registered in NPPES in March 2023, part of The Modern Woman Health & Wellness Center PLLC. The authorized official on file is Shivanna Subramni-Gonzalez, FNP, Cmo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700580198 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | The Modern Woman Health & Wellness Center PLLC |
| NPI issued | Mar 29, 2023 |
| Last updated in NPPES | Mar 29, 2023 |
| Certified by provider | Mar 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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