| Brain Mind Body Psychotherapy, LLC | |
|
177 Post Rd W Ste 1 Westport CT 06880-4652 | |
| (203) 293-4395 | |
| Not Available |
| Full Name | Brain Mind Body Psychotherapy, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 177 Post Rd W Ste 1, Westport, Connecticut |
| Authorized Official Name and Position | Mariana Fraga-zapf (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2032934395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Mind Body Psychotherapy, LLC 6 Steep Hill Rd Weston CT 06883-1731 Ph: (203) 557-0305 | Brain Mind Body Psychotherapy, LLC 177 Post Rd W Ste 1 Westport CT 06880-4652 Ph: (203) 293-4395 |
| NPI Number | 1487079885 |
|---|---|
| Provider Enumeration Date | 02/22/2014 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487079885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008202 (Connecticut) | Primary |
| 251S00000X | Community/behavioral Health | () | Secondary |
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