Active NPIOrganization

Middlesex Wellness & Mediation, LLC

Marriage & Family Therapist in Essex, Connecticut

NPI Number1467815449
Practice location
80-1 Plains RD, Essex, CT 06426-1501
Fax
860-760-6706
Last updated
March 29, 2016

Middlesex Wellness & Mediation, LLC is a healthcare organization based in Essex, CT. Middlesex Wellness & Mediation, LLC practices in Essex, CT. The NPI Number for Middlesex Wellness & Mediation, LLC is 1467815449 and holds a License No. 1806 (CT). The current practice location address for Middlesex Wellness & Mediation, LLC is 80-1 Plains RD, Essex, CT 06426-1501 and can be reached out via phone at 860-510-6130 and via fax at 860-760-6706.

Provider Profile Details

NPI Number
1467815449
Provider Name
Middlesex Wellness & Mediation, LLC
Provider Entity Type
Organization
Address
80-1 Plains RD, Essex, CT 06426-1501
Phone Number
860-510-6130
Fax Number
860-760-6706
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Organization Subpart
No
Authorized Official
Jacquelynn Russo-Boudinot, LMFT, NCC · Owner · 860-510-6130
Provider Enumeration Date
March 29, 2016
Last Update Date
March 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
80-1 Plains RD
Essex, CT 06426-1501
City
Essex
Zip
06426-1501
Phone Number
860-510-6130
Fax Number
860-760-6706
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
80-1 Plains RD
Essex, CT 06426-1501
City
Essex
State
CT
Zip
06426-1501
Phone Number
860-510-6130
Fax Number
860-760-6706

License Information

Taxonomy (1)
Counselor · 101Y00000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
Taxonomy (3)
Counselor, Professional · 101YP2500X
License Number (4)
1806
License State (4)
CT
Taxonomy (4)
Marriage & Family Therapist · 106H00000X · 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 Middlesex Wellness & Mediation, LLC?

The NPI number of Middlesex Wellness & Mediation, LLC is 1467815449. It was assigned on March 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Middlesex Wellness & Mediation, LLC?

Middlesex Wellness & Mediation, LLC is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 1806.

Where does Middlesex Wellness & Mediation, LLC practice?

The practice location is 80-1 Plains RD, Essex, CT 06426-1501. The office can be reached at 860-510-6130 (phone) or 860-760-6706 (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 1467815449 directly on the NPPES registry website.

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