Middlesex Wellness & Mediation, LLC
Marriage & Family Therapist in Essex, Connecticut
1467815449- Practice location
- 80-1 Plains RD, Essex, CT 06426-1501
- Phone
- 860-510-6130
- 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
- State
- Connecticut
- Zip
- 06426-1501
- Phone Number
- 860-510-6130
- Fax Number
- 860-760-6706
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Marriage & Family Therapists near Essex, CT
View all Marriage & Family Therapists in Essex →- Anne Chatillon, MFTMarriage & Family Therapist · NPI 1821426743
- Donna D Gundy, LMFTMarriage & Family Therapist · NPI 1043356207
- Kamilla Gardner, MFTMarriage & Family Therapist · NPI 1265615884
- Katrina Coyle, MFTMarriage & Family Therapist · NPI 1689185761
- Ms. Diane E Brouder, LMFTMarriage & Family Therapist · NPI 1811093719
- Ms. Karin Conroy-Fisher, LMFTMarriage & Family Therapist · NPI 1003909870
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.