PARK CITY WELLNESS CENTER LLC NPI 1700330446

NPI Information

  • NPI: 1700330446
  • Provider Name: PARK CITY WELLNESS CENTER, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1000 LAFAYETTE BLVD
    SUITE 1142
    BRIDGEPORT, CT
    ZIP 06604
  • Phone: (203) 395-8412

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NPI Details

PARK CITY WELLNESS CENTER, LLC is a professional counselor in Bridgeport, CT. PARK CITY WELLNESS CENTER, LLC NPI is 1700330446. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 LAFAYETTE BLVD
SUITE 1142
BRIDGEPORT, CT
ZIP 06604-725
Phone: (203) 395-8412
Fax: (203) 683-5901

The provider's authorized official is Hope Taylor .
The authorized official title is Owner and has the following contact phone number (203) 395-8412.

The enumeration date for this NPI number is 8/11/2016 and was last updated on 9/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional002646CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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