Organization Active NPI

Forever Wellnes LLC

  • Marriage & Family Therapist
  • Fairfield, CT
National Provider Identifier
1457197865
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FOREVER WELLNES LLC
Practice address
35 Kings Hwy E Ste 212
Fairfield, CT 06825-4873
Phone
(475) 988-8383
NPI assigned
Jul 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maritza Poindexter Brown, LMFTNPI 1831846286
Title
Owner/Clinician
Phone
(475) 988-8383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

35 Kings Hwy E Ste 212
Fairfield, CT 06825-4873

Mailing address

35 Kings Hwy E Ste 212
Fairfield, CT 06825-4873
Phone (475) 988-8383

National Provider Directory

National Provider Directory

Locations

35 Kings Hwy E
Ste 204
Fairfield, CT 06825
Phone (203) 414-5445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1457197865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KINGS HWY E STE 212",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254873",
            "telephone_number": "475-988-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 KINGS HWY E STE 212",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254873",
            "telephone_number": "475-988-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER WELLNES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER BROWN",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "475-988-8383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.