Organization
ESSENTIAL WELLNESS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY L LEFFEL MD (MEMBER-MANAGER)
(802) 558-5656
Entity
Organization
Contact information
Practice address
339 DEWEY ST, BENNINGTON, VT 05201-2253
(802) 445-3039
(802) 445-3026
Mailing address
1151 NW HILL RD, POWNAL, VT 05261-9448
(802) 558-5656
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1652
—
VT
Enumeration date
07/07/2016
Last updated
07/07/2016
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