| Ims, Llc | |
|
225 Main St Ste 203 Westport CT 06880-3216 | |
| (203) 493-6557 | |
| (203) 762-7658 |
| Full Name | Ims, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 225 Main St Ste 203, Westport, Connecticut |
| Authorized Official Name and Position | Inger Mai Sjogren (OWNER CLINICIAN) |
| Authorized Official Contact | 2034936557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ims, Llc 35 Graenest Ridge Rd Wilton CT 06897-2929 Ph: (203) 247-7546 | Ims, Llc 225 Main St Ste 203 Westport CT 06880-3216 Ph: (203) 493-6557 |
| NPI Number | 1841763307 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 01/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841763307 | NPI | - | NPPES |
| 1881130631 | Other | INDIVIDUAL NPI | |
| 3530 | Other | CT | LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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