Lift Wellness Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFT WELLNESS GROUP, LLC

Practice address

8 Myrtle Ave
Westport, CT 06880-3511

Phone

(203) 526-3215

NPI assigned

Dec 2, 2021

Last updated

Dec 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Dobson, LMFTNPI 1407295306

Title

Owner

Phone

(203) 526-3215

Specialties & licenses 2

Addresses

Tax ID family

Lift Wellness Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodlands Psychotherapy Group

  • Community/Behavioral Health Agency
  • Easton, CT
  • NPI 1316497423
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Dobson, LMFT

  • Marriage & Family Therapist
  • Fairfield, CT
  • NPI 1407295306
  NPD Authorized official

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1851059224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MYRTLE AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803511",
            "telephone_number": "203-526-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MYRTLE AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803511",
            "telephone_number": "203-526-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-526-3215",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard L Lieberman, M.D.
• Judith Lieberstein, PSYD
• Life Bridge Dental CT PLLC
• Lift Pathways to Renewal (Lift Teen & Parent Wellness Centers)
• Lift Teen and Parent Wellness Centers
• Lindsay Boudreau Counseling LLC
• Doris Lippman
• Kenneth J Lippman, M.D.
• Julia Liptak
• Polly Derow Litner, LADC

• Community/Behavioral Health Agency in Westport, CT
• Providers in Westport, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.