Provider Demographics
NPI:1225921224
Name:BREMOS MENTAL WELNESS CENTER
Entity type:Organization
Organization Name:BREMOS MENTAL WELNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONSOLATA
Authorized Official - Middle Name:O
Authorized Official - Last Name:OMINGO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:603-704-5446
Mailing Address - Street 1:31 OLD NASHUA RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2829
Mailing Address - Country:US
Mailing Address - Phone:603-704-5446
Mailing Address - Fax:603-704-5446
Practice Address - Street 1:31 OLD NASHUA RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2829
Practice Address - Country:US
Practice Address - Phone:603-704-5446
Practice Address - Fax:603-722-6482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty