Active NPIOrganization

Fundamental Family Therapy, LLC

Marriage & Family Therapist in Wolcott, Connecticut

NPI Number1881079820
Practice location
246 Wolcott RD, Wolcott, CT 06716-2641
Fax
—
Last updated
July 20, 2015

Fundamental Family Therapy, LLC is a healthcare organization based in Wolcott, CT. Fundamental Family Therapy, LLC practices in Wolcott, CT. The NPI Number for Fundamental Family Therapy, LLC is 1881079820. The current practice location address for Fundamental Family Therapy, LLC is 246 Wolcott RD, Wolcott, CT 06716-2641 and can be reached out via phone at 203-206-2784.

Provider Profile Details

NPI Number
1881079820
Provider Name
Fundamental Family Therapy, LLC
Provider Entity Type
Organization
Address
246 Wolcott RD, Wolcott, CT 06716-2641
Phone Number
203-206-2784
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Organization Subpart
No
Authorized Official
Jaime Rodriguez, LMFT · Owner · 203-206-2784
Provider Enumeration Date
July 20, 2015
Last Update Date
July 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
246 Wolcott RD
Wolcott, CT 06716-2641
Zip
06716-2641
Phone Number
203-206-2784
Wolcott, CT 06716Get directions →

Provider Business Mailing Address Details

Address
Po Box 11406
Waterbury, CT 06703-0406
City
Waterbury
State
CT
Zip
06703-0406
Phone Number
203-206-2784

License Information

Taxonomy
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 Fundamental Family Therapy, LLC?

The NPI number of Fundamental Family Therapy, LLC is 1881079820. It was assigned on July 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Fundamental Family Therapy, LLC?

Fundamental Family Therapy, LLC is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X).

Where does Fundamental Family Therapy, LLC practice?

The practice location is 246 Wolcott RD, Wolcott, CT 06716-2641. The office can be reached at 203-206-2784 (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 1881079820 directly on the NPPES registry website.

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