| Rejuvenating Mind & Body , Llc | |
|
969 W Main St Suite 2g Waterbury CT 06708-2653 | |
| (203) 625-1502 | |
| Not Available |
| Full Name | Rejuvenating Mind & Body , Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 969 W Main St, Waterbury, Connecticut |
| Authorized Official Name and Position | Jody Lynn Zenkus (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2035357388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenating Mind & Body , Llc 969 W Main St Suite 2g Waterbury CT 06708-2653 Ph: (203) 625-1502 | Rejuvenating Mind & Body , Llc 969 W Main St Suite 2g Waterbury CT 06708-2653 Ph: (203) 625-1502 |
| NPI Number | 1861924292 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861924292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009126 (Connecticut) | Primary |
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