| Theresa Lucille Evans Knight Ma Lmft Llc | |
|
37 Cranbury Rd Norwalk CT 06851-2616 | |
| (203) 722-3312 | |
| (203) 849-3230 |
| Full Name | Theresa Lucille Evans Knight Ma Lmft Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 37 Cranbury Rd, Norwalk, Connecticut |
| Authorized Official Name and Position | Theresa Lucille Evans Knight (OWNER) |
| Authorized Official Contact | 2037223312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Lucille Evans Knight Ma Lmft Llc 37 Cranbury Rd Norwalk CT 06851-2616 Ph: (203) 722-3312 | Theresa Lucille Evans Knight Ma Lmft Llc 37 Cranbury Rd Norwalk CT 06851-2616 Ph: (203) 722-3312 |
| NPI Number | 1043682818 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043682818 | NPI | - | NPPES |
| 00806011 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001731 (Connecticut) | Primary |
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