| Katy Lee, Llc | |
|
83 East Ave Ste 112 Norwalk CT 06851-4902 | |
| (203) 515-3978 | |
| Not Available |
| Full Name | Katy Lee, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 83 East Ave Ste 112, Norwalk, Connecticut |
| Authorized Official Name and Position | Katy Lee (MEMBER) |
| Authorized Official Contact | 2035153978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Lee, Llc 511 Foxboro Dr Norwalk CT 06851-1157 Ph: (203) 515-3978 | Katy Lee, Llc 83 East Ave Ste 112 Norwalk CT 06851-4902 Ph: (203) 515-3978 |
| NPI Number | 1780290916 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780290916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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