Provider Demographics
NPI:1437594413
Name:HEARING HEALTH AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:HEARING HEALTH AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VASILE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:860-426-9181
Mailing Address - Street 1:710 MAIN ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479-1565
Mailing Address - Country:US
Mailing Address - Phone:860-426-9181
Mailing Address - Fax:860-426-1072
Practice Address - Street 1:710 MAIN ST
Practice Address - Street 2:SUITE 8
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479-1565
Practice Address - Country:US
Practice Address - Phone:860-426-9181
Practice Address - Fax:860-426-1072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004245933Medicaid
CTP23431Medicare UPIN