| Full And Fit Family Llc | |
|
363 Main St Ste 513 Middletown CT 06457-3359 | |
| (203) 558-2381 | |
| Not Available |
| Full Name | Full And Fit Family Llc |
|---|---|
| Speciality | Social Worker |
| Location | 363 Main St Ste 513, Middletown, Connecticut |
| Authorized Official Name and Position | Erika Moses (OWNER) |
| Authorized Official Contact | 2035582381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full And Fit Family Llc 39 Wall St Middletown CT 06457-4705 Ph: (203) 558-2381 | Full And Fit Family Llc 363 Main St Ste 513 Middletown CT 06457-3359 Ph: (203) 558-2381 |
| NPI Number | 1821588468 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 12/21/2018 |
| Medicare PECOS PAC ID | 8921342536 |
|---|---|
| Medicare Enrollment ID | O20181210001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821588468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7719 (Connecticut) | Primary |
| Provider Name | Erika Moses |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386896975 PECOS PAC ID: 5395915144 Enrollment ID: I20110902000516 |
| Provider Name | Gail Ann Zuckerbraun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043518137 PECOS PAC ID: 4688078272 Enrollment ID: I20210804000751 |
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