| Center for Healing Trauma LLC | |
|
840 Post Rd E Westport CT 06880-5236 | |
| (203) 383-0501 | |
| Not Available |
| Full Name | Center for Healing Trauma LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 840 Post Rd E, Westport, Connecticut |
| Authorized Official Name and Position | Elizabeth Modugno (MEMBER/OWNER) |
| Authorized Official Contact | 2033830501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Healing Trauma LLC Po Box 86 Monroe CT 06468-0086 Ph: (203) 383-0501 | Center for Healing Trauma LLC 840 Post Rd E Westport CT 06880-5236 Ph: (203) 383-0501 |
| NPI Number | 1477331064 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477331064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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