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Alyssa Axelrod Lcsw Llc
Adolescent and Children Mental Health Clinic/Center in Wallingford, Connecticut
NPI 1154042208

Alyssa Axelrod Lcsw Llc is an Adolescent and Children Mental Health Clinic/Center based in Wallingford, CT and is specialized in Adolescent and Children Mental Health. Alyssa Axelrod Lcsw Llc practices in Wallingford, CT. The NPI Number for Alyssa Axelrod Lcsw Llc is 1154042208 and holds a License No. (Connecticut).

The current practice location address for Alyssa Axelrod Lcsw Llc is 17 Blakeslee Rd, Wallingford, CT and can be reached out via phone at 203-654-5839.

Location: 17 Blakeslee Rd, Wallingford, CT, 06492-5212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154042208
Provider Name
Alyssa Axelrod Lcsw Llc
Credential
Provider Entity Type
Organization
Address
17 Blakeslee Rd, Wallingford, CT, 06492-5212
Phone Number
203-654-5839
Fax Number
Provider Enumeration Date
09/07/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17 Blakeslee Rd
City
Wallingford
State
Connecticut
Zip
06492-5212
Phone Number
203-654-5839
Fax Number
person
Provider Business Mailing Address Details
Address
17 Blakeslee Rd
City
Wallingford
State
Connecticut
Zip
06492-5212
Phone Number
203-654-5839
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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