| Main Street Psych And Wellness Pllc | |
|
93 S Main St Beacon Falls CT 06403-1447 | |
| (203) 397-6076 | |
| Not Available |
| Full Name | Main Street Psych And Wellness Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 93 S Main St, Beacon Falls, Connecticut |
| Authorized Official Name and Position | Christina L Lapham (OWNER) |
| Authorized Official Contact | 2036136454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Psych And Wellness Pllc 354 Sperry Rd Bethany CT 06524-3542 Ph: (203) 613-6454 | Main Street Psych And Wellness Pllc 93 S Main St Beacon Falls CT 06403-1447 Ph: (203) 397-6076 |
| NPI Number | 1124611447 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 02/17/2021 |
| Certification Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124611447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Beacon Falls Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 S Main St, Beacon Falls, CT 06403 Phone: 203-729-0100 |