| Lift Wellness Group, Llc | |
|
8 Myrtle Ave Westport CT 06880-3511 | |
| (203) 526-3215 | |
| Not Available |
| Full Name | Lift Wellness Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 Myrtle Ave, Westport, Connecticut |
| Authorized Official Name and Position | Mary Dobson (OWNER) |
| Authorized Official Contact | 2035263215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lift Wellness Group, Llc 8 Myrtle Ave Westport CT 06880-3511 Ph: (203) 526-3215 | Lift Wellness Group, Llc 8 Myrtle Ave Westport CT 06880-3511 Ph: (203) 526-3215 |
| NPI Number | 1851059224 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851059224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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