| Fairfield County Mental Wellness Counseling, Llc | |
|
3241 Main St Ste B Stratford CT 06614-4850 | |
| (203) 500-6397 | |
| (203) 383-4499 |
| Full Name | Fairfield County Mental Wellness Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3241 Main St Ste B, Stratford, Connecticut |
| Authorized Official Name and Position | Silvia Dicovich (OWNER) |
| Authorized Official Contact | 2035006397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield County Mental Wellness Counseling, Llc 3241 Main St Ste B Stratford CT 06614-4850 Ph: (203) 500-6397 | Fairfield County Mental Wellness Counseling, Llc 3241 Main St Ste B Stratford CT 06614-4850 Ph: (203) 500-6397 |
| NPI Number | 1265903223 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265903223 | NPI | - | NPPES |
| 004069985 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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