Vivian Moraes Kannemeyer, LMFT | |
4699 Main St Ste 210, Bridgeport, CT 06606-1830 | |
(203) 208-3940 | |
Not Available |
Full Name | Vivian Moraes Kannemeyer |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 4699 Main St Ste 210, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477274819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 2669 (Connecticut) | Secondary |
106H00000X | Marriage & Family Therapist | 003044 (Connecticut) | Primary |
Entity Name | Redeem Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144876392 PECOS PAC ID: 2567807142 Enrollment ID: O20240305003602 |
Mailing Address | Practice Location Address |
---|---|
Vivian Moraes Kannemeyer, LMFT 4 Lake Pl N, Danbury, CT 06810-7203 Ph: (240) 388-5838 | Vivian Moraes Kannemeyer, LMFT 4699 Main St Ste 210, Bridgeport, CT 06606-1830 Ph: (203) 208-3940 |
Lauren Roche, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-330-6790 | |
Valmir Delgado, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4699 Main St Ste 210, Bridgeport, CT 06606 Phone: 203-208-3940 Fax: 203-372-3272 | |
Keila Cruz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 203-683-8671 | |
Robert Preli, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-330-6790 | |
Alleana A Melendez-martinez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 203-394-6529 Fax: 203-394-6534 | |
Mrs. Bridget C. Usher, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1653 Capitol Ave, Bridgeport, CT 06604 Phone: 203-368-0688 | |
Alice Michele Magalnick, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3394 Fax: 203-384-3829 |