Redeem Wellness Center II, LLC
Organization Active NPI Marriage & Family Therapist · Westport, CT
NPI 1942968151 · NPPES record last updated Dec 5, 2021
Key facts
- NPI
- 1942968151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- REDEEM WELLNESS CENTER II, LLC
- Practice address
- 19 Ludlow Rd
Westport, CT 06880-3040 - Phone
- (203) 208-3940
- Fax
- (203) 693-4900
- NPI assigned
- Dec 5, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- REDEEM WELLNESS CENTER, LLC
Authorized official
- Name
- Marcos Rosa, LMFT
- Title
- Owner
- Phone
- (203) 208-3940
Parent organization (reported in NPPES) 1
Practitioners 3
-
Timothy M Aquino, LMFT
-
Melissa Marlowe-Reiner, LMFT
-
Eunshil Kim, LMFT
National Provider Directory
- Part of
- Redeem Wellness Center LLC
Locations
19 Ludlow Rd
Westport, CT 06880
Phone (203) 208-3940
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
19 Ludlow Rd
Westport, CT 06880-3040
Mailing address
19 Ludlow Rd
Westport, CT 06880-3040
Phone (203) 208-3940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008089942 | Medicaid | CT |
Other names
- Redeem Wellness Center, LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2021. 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.