Phenomenal Woman Counseling | |
1000 Lafayette Blvd Ste 1100 Bridgeport CT 06604-4710 | |
(203) 243-1377 | |
Not Available |
Full Name | Phenomenal Woman Counseling |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1000 Lafayette Blvd Ste 1100, Bridgeport, Connecticut |
Authorized Official Name and Position | Pamela Felder-fox (OWNER) |
Authorized Official Contact | 2032431378 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phenomenal Woman Counseling 137 Marsh Way Stratford CT 06614-2953 Ph: (203) 243-1377 | Phenomenal Woman Counseling 1000 Lafayette Blvd Ste 1100 Bridgeport CT 06604-4710 Ph: (203) 243-1377 |
NPI Number | 1629640198 |
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Provider Enumeration Date | 07/14/2021 |
Last Update Date | 07/14/2021 |
Certification Date | 07/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629640198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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