| Family Wellness And Psychotherapy Center | |
|
787 Main St S Unit A-5 Woodbury CT 06798-3741 | |
| (203) 714-4413 | |
| (203) 714-4723 |
| Full Name | Family Wellness And Psychotherapy Center |
|---|---|
| Speciality | Counselor |
| Location | 787 Main St S Unit A-5, Woodbury, Connecticut |
| Authorized Official Name and Position | Jennifer T Giustra-kozek (PSYCHOTHERAPIST / OWNER) |
| Authorized Official Contact | 2034177793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness And Psychotherapy Center 8 Evergreen Ln Oxford CT 06478-1472 Ph: (203) 417-7793 | Family Wellness And Psychotherapy Center 787 Main St S Unit A-5 Woodbury CT 06798-3741 Ph: (203) 714-4413 |
| NPI Number | 1427817253 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 2769822386 |
|---|---|
| Medicare Enrollment ID | O20240430002766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427817253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Giustra-kozek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972611283 PECOS PAC ID: 5496195018 Enrollment ID: I20240430003005 |
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