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Fairfield County Health & Wellness Services Ii Llc
Adult Mental Health Clinic/Center in Fairfield, Connecticut
NPI 1811426695

Fairfield County Health & Wellness Services Ii Llc is an Adult Mental Health Clinic/Center based in Trumbull, CT and is specialized in Adult Mental Health. Fairfield County Health & Wellness Services Ii Llc practices in Fairfield, CT. The NPI Number for Fairfield County Health & Wellness Services Ii Llc is 1811426695 and holds a License No. 033954 (Connecticut).

The current practice location address for Fairfield County Health & Wellness Services Ii Llc is 325 Reef Road/Suite 109, Fairfield, CT and can be reached out via phone at 203-955-1821 and via fax at 203-955-1823. You can also correspond with Fairfield County Health & Wellness Services Ii Llc through the mailing address at 21 MAPLE RIDGE RD, TRUMBULL, CT - 06611-5522 (mailing address contact number: 203-671-3587).

Location: 325 Reef Road/Suite 109, Fairfield, CT, 06611-5522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811426695
Provider Name
Fairfield County Health & Wellness Services Ii Llc
Credential
Provider Entity Type
Organization
Address
325 Reef Road/Suite 109, Fairfield, CT, 06611-5522
Phone Number
203-955-1821
Fax Number
203-955-1823
Provider Enumeration Date
06/06/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
260003450 05 CT
institution
Provider Business Practice Location Address Details
Address
325 Reef Road/Suite 109
City
Fairfield
State
Connecticut
Zip
06824
Phone Number
203-955-1821
Fax Number
203-955-1823
person
Provider Business Mailing Address Details
Address
21 Maple Ridge Rd
City
Trumbull
State
Connecticut
Zip
06611-5522
Phone Number
203-671-3587
Fax Number
203-671-3587
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
033954 (Connecticut)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
2084P0802X
License No.
033954 (Connecticut)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
033954 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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