Provider Demographics
NPI:1386460772
Name:WELL BEING SANCTUARY
Entity type:Organization
Organization Name:WELL BEING SANCTUARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPA/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTRAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-558-1760
Mailing Address - Street 1:550 TORRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-2606
Mailing Address - Country:US
Mailing Address - Phone:203-558-1760
Mailing Address - Fax:
Practice Address - Street 1:257 MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-5206
Practice Address - Country:US
Practice Address - Phone:860-733-3280
Practice Address - Fax:860-650-9854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health