| Fairfield Counseling Services, Inc | |
|
125 Penfield Road Fairfield CT 06824-6639 | |
| (203) 255-5777 | |
| (203) 259-9673 |
| Full Name | Fairfield Counseling Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 125 Penfield Road, Fairfield, Connecticut |
| Authorized Official Name and Position | Frank Farias (CHIEF FINANCIAL & HR OFFICER) |
| Authorized Official Contact | 2033684291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Counseling Services, Inc 125 Penfield Rd. Fairfield CT 06824-6639 Ph: (203) 255-5777 | Fairfield Counseling Services, Inc 125 Penfield Road Fairfield CT 06824-6639 Ph: (203) 255-5777 |
| NPI Number | 1750378667 |
|---|---|
| Provider Enumeration Date | 10/05/2005 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750378667 | NPI | - | NPPES |
| 004069985 | Medicaid | CT | |
| 004083606 | Medicaid | CT |
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