Redeem Wellness Center, Llc | |
3180 Main St Ste 106 Bridgeport CT 06606-4237 | |
(203) 208-3940 | |
(203) 372-3272 |
Full Name | Redeem Wellness Center, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 3180 Main St Ste 106, Bridgeport, Connecticut |
Authorized Official Name and Position | Grace Cullen (MEDICAL BILLING MANAGER) |
Authorized Official Contact | 2033685515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Redeem Wellness Center, Llc 6405 Camden Rd Fayetteville NC 28306-7216 Ph: (910) 275-5766 | Redeem Wellness Center, Llc 3180 Main St Ste 106 Bridgeport CT 06606-4237 Ph: (203) 208-3940 |
NPI Number | 1144876392 |
---|---|
Provider Enumeration Date | 08/14/2019 |
Last Update Date | 09/22/2020 |
Certification Date | 09/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144876392 | NPI | - | NPPES |
004069985 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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