| Fortified Therapy, Llc | |
|
1506 Post Road Suite 5 Fairfield CT 06824-5916 | |
| (203) 908-2260 | |
| Not Available |
| Full Name | Fortified Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1506 Post Road, Fairfield, Connecticut |
| Authorized Official Name and Position | Meitta Young (OWNER/CLINICIAN) |
| Authorized Official Contact | 2039082260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortified Therapy, Llc 1506 Post Road Suite 5 Fairfield CT 06824-5916 Ph: (203) 908-2260 | Fortified Therapy, Llc 1506 Post Road Suite 5 Fairfield CT 06824-5916 Ph: (203) 908-2260 |
| NPI Number | 1912796871 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Medicare PECOS PAC ID | 3971020348 |
|---|---|
| Medicare Enrollment ID | O20250508002323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912796871 | NPI | - | NPPES |
| 008132078 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Meita Young |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891578126 PECOS PAC ID: 5496272866 Enrollment ID: I20250508002566 |
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