Brain Mind Body Psychotherapy, Llc | |
177 Post Rd W Ste 1 Westport CT 06880-4652 | |
(203) 293-4395 | |
Not Available |
Full Name | Brain Mind Body Psychotherapy, Llc |
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Speciality | Social Worker - Clinical |
Location | 177 Post Rd W Ste 1, Westport, Connecticut |
Authorized Official Name and Position | Mariana Fraga-zapf (PSYCHOTHERAPIST) |
Authorized Official Contact | 2032934395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brain Mind Body Psychotherapy, Llc 6 Steep Hill Rd Weston CT 06883-1731 Ph: (203) 557-0305 | Brain Mind Body Psychotherapy, Llc 177 Post Rd W Ste 1 Westport CT 06880-4652 Ph: (203) 293-4395 |
NPI Number | 1487079885 |
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Provider Enumeration Date | 02/22/2014 |
Last Update Date | 03/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487079885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 008202 (Connecticut) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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