Organization
HEALTHWAYS, INC
Active
Parent organization
BIRMINGHAM GROUP HEALTH SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIRMINGHAM GROUP HEALTH SERVICES, INC
Authorized official
MS. MARILYN MCMELLON- CORMACK (PRESIDENT, CEO)
(203) 736-2601
Entity
Organization
Contact information
Practice address
435 E MAIN ST, ANSONIA, CT 06401-1964
(203) 736-2601
(203) 736-2641
Mailing address
435 E MAIN ST, PO BOX 658, ANSONIA, CT 06401-1964
(203) 736-2601
(203) 736-2641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
CT
1041C0700X
Clinical Social Worker
Primary
—
CT
106H00000X
Marriage & Family Therapist
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004258598
—
CT
05
—
004259603
—
CT
05
—
004259611
—
CT
Enumeration date
12/21/2006
Last updated
06/23/2008
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