| Norja E. Cunningham, Lmft, Art Trained, Llc | |
|
1000 Lafayette Blvd Ste 1100 Bridgeport CT 06604-4710 | |
| (203) 590-1554 | |
| Not Available |
| Full Name | Norja E. Cunningham, Lmft, Art Trained, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1000 Lafayette Blvd Ste 1100, Bridgeport, Connecticut |
| Authorized Official Name and Position | Norja Cunningham (OWNER/THERAPIST) |
| Authorized Official Contact | 2035901554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norja E. Cunningham, Lmft, Art Trained, Llc 120 Higgins Ave Bridgeport CT 06606-3718 Ph: (203) 243-1577 | Norja E. Cunningham, Lmft, Art Trained, Llc 1000 Lafayette Blvd Ste 1100 Bridgeport CT 06604-4710 Ph: (203) 590-1554 |
| NPI Number | 1992308670 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Medicare PECOS PAC ID | 1759769938 |
|---|---|
| Medicare Enrollment ID | O20220531000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992308670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Anne Cofone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679231419 PECOS PAC ID: 5496121105 Enrollment ID: I20221021000182 |
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