Urban Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

URBAN WELLNESS CENTER LLC

Practice address

36 Russ St FL 3
Hartford, CT 06106-1520

Phone

(860) 292-0030

NPI assigned

Aug 28, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Destiny Tyson

Title

Owner

Phone

(860) 292-0030

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Destiny Ayala, LCSW

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1598498552
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1639903123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RUSS ST FL 3",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RUSS ST FL 3",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061520",
            "telephone_number": "860-292-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-292-0030"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Upham, MD
• Dean F Uphoff, M.D.
• Sravya Uppalapati
• Urban League of Greater Hartford
• Urban Nursing & Community Care, LLC
• Jessica Urban-Jack, APRN
• Martin Henry Urbanski Jr., PA-C
• Steven R. Urbanski, M.D.
• Sydney M Urch, PA-C
• Aerovil Y Urena Lopez, PA-C

• Community/Behavioral Health Agency in Hartford, CT
• Providers in Hartford, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.