| Melina Mansour Llc | |
|
51 N Main St Suite 2d Southington CT 06489-2537 | |
| (860) 378-9605 | |
| (860) 328-3966 |
| Full Name | Melina Mansour Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 51 N Main St, Southington, Connecticut |
| Authorized Official Name and Position | Melina Mansour (OWNER/LMFT) |
| Authorized Official Contact | 8603789605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melina Mansour Llc 1175 S Main St Unit 1 Plantsville CT 06479-1690 Ph: (860) 378-9605 | Melina Mansour Llc 51 N Main St Suite 2d Southington CT 06489-2537 Ph: (860) 378-9605 |
| NPI Number | 1629493036 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 02/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629493036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000462 (Connecticut) | Primary |
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