| Atlas Outlook | |
|
1429 Park St Reset First Floor Hartford CT 06106-2236 | |
| (860) 685-1254 | |
| Not Available |
| Full Name | Atlas Outlook |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1429 Park St, Hartford, Connecticut |
| Authorized Official Name and Position | Tami Mendez (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8606851254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Outlook 1429 Park St Reset First Floor Hartford CT 06106-2236 Ph: (860) 685-1254 | Atlas Outlook 1429 Park St Reset First Floor Hartford CT 06106-2236 Ph: (860) 685-1254 |
| NPI Number | 1396289344 |
|---|---|
| Provider Enumeration Date | 12/10/2016 |
| Last Update Date | 12/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396289344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002560 (Connecticut) | Primary |
| 106H00000X | Marriage & Family Therapist | 001390 (Connecticut) | Secondary |
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