Active NPIOrganization

Adult Mind Body Wellness, LLC

Social Worker, Clinical in Stamford, Connecticut

NPI Number1053735852
Practice location
18 Hollow Oak Ln, Stamford, CT 06905-2309
Fax
203-274-5177
Last updated
February 13, 2014

Adult Mind Body Wellness, LLC is a healthcare organization based in Stamford, CT. Adult Mind Body Wellness, LLC practices in Stamford, CT. The NPI Number for Adult Mind Body Wellness, LLC is 1053735852 and holds a License No. 006555 (CT). The current practice location address for Adult Mind Body Wellness, LLC is 18 Hollow Oak Ln, Stamford, CT 06905-2309 and can be reached out via phone at 203-274-5177 and via fax at 203-274-5177.

Provider Profile Details

NPI Number
1053735852
Provider Name
Adult Mind Body Wellness, LLC
Provider Entity Type
Organization
Address
18 Hollow Oak Ln, Stamford, CT 06905-2309
Phone Number
203-274-5177
Fax Number
203-274-5177
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Judy N Stddard, LCSW · Owner · 203-918-5246
Provider Enumeration Date
February 13, 2014
Last Update Date
February 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Hollow Oak Ln
Stamford, CT 06905-2309
Zip
06905-2309
Phone Number
203-274-5177
Fax Number
203-274-5177
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
18 Hollow Oak Ln
Stamford, CT 06905-2309
City
Stamford
State
CT
Zip
06905-2309
Phone Number
203-274-5177
Fax Number
203-274-5177

License Information

License Number
006555
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adult Mind Body Wellness, LLC?

The NPI number of Adult Mind Body Wellness, LLC is 1053735852. It was assigned on February 13, 2014 and is currently active in the NPPES registry.

What is the specialty of Adult Mind Body Wellness, LLC?

Adult Mind Body Wellness, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006555.

Where does Adult Mind Body Wellness, LLC practice?

The practice location is 18 Hollow Oak Ln, Stamford, CT 06905-2309. The office can be reached at 203-274-5177 (phone) or 203-274-5177 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053735852 directly on the NPPES registry website.

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