| Growth And Self Love Llc | |
|
74 Beacon View Dr Fairfield CT 06825-3703 | |
| (203) 290-8507 | |
| Not Available |
| Full Name | Growth And Self Love Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 74 Beacon View Dr, Fairfield, Connecticut |
| Authorized Official Name and Position | Fikreta Cirikovic (OWNER) |
| Authorized Official Contact | 2032908507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth And Self Love Llc 74 Beacon View Dr Fairfield CT 06825-3703 Ph: () - | Growth And Self Love Llc 74 Beacon View Dr Fairfield CT 06825-3703 Ph: (203) 290-8507 |
| NPI Number | 1063294528 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063294528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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