Organization
CENTERED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTAINY A WAGNER (BILLING SPECIALIST)
(903) 213-1005
Entity
Organization
Contact information
Practice address
285 NICOLL ST STE 104, NEW HAVEN, CT 06511-2625
(203) 606-2395
(203) 643-2499
Mailing address
285 NICOLL ST, NEW HAVEN, CT 06511-2625
(203) 606-2395
(203) 643-2499
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
01/28/2025
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