| Redeem Wellness Center Ii, Llc | |
|
19 Ludlow Rd Westport CT 06880-3040 | |
| (203) 208-3940 | |
| (203) 693-4900 |
| Full Name | Redeem Wellness Center Ii, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 19 Ludlow Rd, Westport, Connecticut |
| Authorized Official Name and Position | Marcos Rosa (OWNER) |
| Authorized Official Contact | 2032083940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redeem Wellness Center Ii, Llc 19 Ludlow Rd Westport CT 06880-3040 Ph: (203) 208-3940 | Redeem Wellness Center Ii, Llc 19 Ludlow Rd Westport CT 06880-3040 Ph: (203) 208-3940 |
| NPI Number | 1942968151 |
|---|---|
| Provider Enumeration Date | 12/05/2021 |
| Last Update Date | 12/05/2021 |
| Certification Date | 12/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942968151 | NPI | - | NPPES |
| 008089942 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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