| Little Big Steps, Llc | |
|
99 Glenvale Ter Bridgeport CT 06610-1003 | |
| (201) 290-0635 | |
| Not Available |
| Full Name | Little Big Steps, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 99 Glenvale Ter, Bridgeport, Connecticut |
| Authorized Official Name and Position | Tara Edmonson (MEMBER) |
| Authorized Official Contact | 2012900635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Big Steps, Llc Po Box 55103 Bridgeport CT 06610-5103 Ph: () - | Little Big Steps, Llc 99 Glenvale Ter Bridgeport CT 06610-1003 Ph: (201) 290-0635 |
| NPI Number | 1902111321 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902111321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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