Mind Body Soul - Psychology And Consulting Group LLC
Psychologist, Clinical in Ridgefield, Connecticut
1912434234- Practice location
- 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877-0687
- Phone
- 203-494-8468
- Fax
- 845-582-0764
- Last updated
- July 21, 2022
Mind Body Soul - Psychology And Consulting Group LLC is a healthcare organization based in Ridgefield, CT. Mind Body Soul - Psychology And Consulting Group LLC practices in Ridgefield, CT. The NPI Number for Mind Body Soul - Psychology And Consulting Group LLC is 1912434234 and holds a License No. 2706 (CT). The current practice location address for Mind Body Soul - Psychology And Consulting Group LLC is 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877-0687 and can be reached out via phone at 203-494-8468 and via fax at 845-582-0764.
Provider Profile Details
- NPI Number
- 1912434234
- Provider Name
- Mind Body Soul - Psychology And Consulting Group LLC
- Provider Entity Type
- Organization
- Address
- 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877-0687
- Phone Number
- 203-494-8468
- Fax Number
- 845-582-0764
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Lori Wagner, PSYD · Owner, Clinical Psychologist · 203-494-8468
- Provider Enumeration Date
- May 17, 2017
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 Danbury Road
Lower Level, Suite D6
Ridgefield, CT 06877-0687 - City
- Ridgefield
- State
- Connecticut
- Zip
- 06877-0687
- Phone Number
- 203-494-8468
- Fax Number
- 845-582-0764
Provider Business Mailing Address Details
- Address
- 109 Danbury Road
Lower Level, Suite D6
Ridgefield, CT 06877 - City
- Ridgefield
- State
- CT
- Zip
- 06877
- Phone Number
- 203-494-8468
- Fax Number
- 845-582-0764
License Information
- License Number
- 2706
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mind Body Soul - Psychology And Consulting Group LLC?
The NPI number of Mind Body Soul - Psychology And Consulting Group LLC is 1912434234. It was assigned on May 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Mind Body Soul - Psychology And Consulting Group LLC?
Mind Body Soul - Psychology And Consulting Group LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 2706.
Where does Mind Body Soul - Psychology And Consulting Group LLC practice?
The practice location is 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877-0687. The office can be reached at 203-494-8468 (phone) or 845-582-0764 (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 1912434234 directly on the NPPES registry website.