Inner Wisdom Psychotherapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1928 Issued in CT

Legal business name

INNER WISDOM PSYCHOTHERAPY

Practice address

122A Naubuc Ave
Suite 210
Glastonbury, CT 06033-4246

Phone

(860) 218-0948

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Pamela Mulready, LPC, LADC

Title

Counselor

Phone

(860) 218-0948

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1740648047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122A NAUBUC AVE",
            "address_2": "SUITE 210",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334246",
            "telephone_number": "860-218-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122A NAUBUC AVE",
            "address_2": "SUITE 210",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334246",
            "telephone_number": "860-218-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WISDOM PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "MULREADY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "860-218-0948",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awais Ibad, M.D
• Hiba Ibad
• Immerse LLC
• Kenneth R Inchalik, MD
• Inner Peace Counseling
• Innerlight Wellness Counseling PLLC
• Innovative Solutions Counseling, LLC
• Kimberly Inocco, DPM
• Integrated Dermatology of Glastonbury PLLC
• Integrative Clinical Associates

• Professional Counselor in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.