| Fairfield Family Therapy, Llc | |
|
140 Sherman St Fl 5 Fairfield CT 06824-5849 | |
| (203) 883-0803 | |
| Not Available |
| Full Name | Fairfield Family Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 140 Sherman St Fl 5, Fairfield, Connecticut |
| Authorized Official Name and Position | Charles P. Lemieux (MEMBER) |
| Authorized Official Contact | 4758889232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Family Therapy, Llc 140 Sherman St Fl 5 Fairfield CT 06824-5849 Ph: (475) 888-9232 | Fairfield Family Therapy, Llc 140 Sherman St Fl 5 Fairfield CT 06824-5849 Ph: (203) 883-0803 |
| NPI Number | 1780136655 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780136655 | NPI | - | NPPES |
| 008043523 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001375 (Connecticut) | Primary |
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