Alyssa Axelrod LCSW LLC
Organization Active NPI Adult Mental Health Clinic/Center · Wallingford, CT
NPI 1154042208 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1154042208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- ALYSSA AXELROD LCSW LLC
- Practice address
- 17 Blakeslee Rd
Wallingford, CT 06492-5212 - Phone
- (203) 654-5839
- NPI assigned
- Sep 7, 2022
- Organization subpart
- No
Authorized official
- Name
- Alyssa Axelrod, LCSW
- Title
- Owner
- Phone
- (203) 654-5839
Practitioners 1
-
Alyssa Jeannette Axelrod, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
17 Blakeslee Rd
Wallingford, CT 06492-5212
Mailing address
17 Blakeslee Rd
Wallingford, CT 06492-5212
Phone (203) 654-5839
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All providers in Wallingford, CT · Adult Mental Health Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.