Embodying Redemption
Marriage & Family Therapist in New Haven, Connecticut
1093058257- Practice location
- 495 Orange St, New Haven, CT 06511-3809
- Phone
- 206-321-8555
- Fax
- —
- Last updated
- October 16, 2013
Embodying Redemption is a healthcare organization based in New Haven, CT. Embodying Redemption practices in New Haven, CT. The NPI Number for Embodying Redemption is 1093058257 and holds a License No. 1470 (CT). The current practice location address for Embodying Redemption is 495 Orange St, New Haven, CT 06511-3809 and can be reached out via phone at 206-321-8555.
Provider Profile Details
- NPI Number
- 1093058257
- Provider Name
- Embodying Redemption
- Provider Entity Type
- Organization
- Address
- 495 Orange St, New Haven, CT 06511-3809
- Phone Number
- 206-321-8555
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Laura Wallace, LMFT · Owner · 206-321-8555
- Provider Enumeration Date
- April 5, 2013
- Last Update Date
- October 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 495 Orange St
New Haven, CT 06511-3809 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-3809
- Phone Number
- 206-321-8555
Provider Business Mailing Address Details
- Address
- 872 State St Apt 3D
New Haven, CT 06511-7310 - City
- New Haven
- State
- CT
- Zip
- 06511-7310
- Phone Number
- 206-321-8555
License Information
- License Number
- 1470
- License State
- CT
- Taxonomy
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Embodying Redemption?
The NPI number of Embodying Redemption is 1093058257. It was assigned on April 5, 2013 and is currently active in the NPPES registry.
What is the specialty of Embodying Redemption?
Embodying Redemption is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 1470.
Where does Embodying Redemption practice?
The practice location is 495 Orange St, New Haven, CT 06511-3809. The office can be reached at 206-321-8555 (phone).
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 1093058257 directly on the NPPES registry website.