| Alyssa Axelrod Lcsw Llc | |
|
17 Blakeslee Rd Wallingford CT 06492-5212 | |
| (203) 654-5839 | |
| Not Available |
| Full Name | Alyssa Axelrod Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17 Blakeslee Rd, Wallingford, Connecticut |
| Authorized Official Name and Position | Alyssa Axelrod (OWNER) |
| Authorized Official Contact | 2036545839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Axelrod Lcsw Llc 17 Blakeslee Rd Wallingford CT 06492-5212 Ph: (203) 654-5839 | Alyssa Axelrod Lcsw Llc 17 Blakeslee Rd Wallingford CT 06492-5212 Ph: (203) 654-5839 |
| NPI Number | 1154042208 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154042208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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