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REDEEM WELLNESS CENTER II LLC NPI 1942968151


NPI Information

NPI: 1942968151
Provider Name: REDEEM WELLNESS CENTER II, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
19 LUDLOW RD
WESTPORT, CT
ZIP 06880
Phone: (203) 208-3940
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REDEEM WELLNESS CENTER II, LLC is a marriage family therapist in Westport, CT. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. REDEEM WELLNESS CENTER II, LLC NPI is 1942968151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19 LUDLOW RD
WESTPORT, CT
ZIP 06880-040
Phone: (203) 208-3940
Fax: (203) 693-4900

The provider's authorized official is Marcos Rosa .
The authorized official title is Owner and has the following contact phone number (203) 208-3940.

The enumeration date for this NPI number is 12/5/2021 and was last updated on 12/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008089942MEDICAIDCONNECTICUT

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: 4/28/2024

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