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Organization
EMH FAMILY SERVICES PC
Active
Organization
EMH FAMILY SERVICES PC
Active
Other names
ELLIE MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAY PISCO LMFT (CLINIC DIRECTOR)
(845) 656-3053
Entity
Organization
Contact information
Practice address
55 WALLS DR, STE 206, FAIRFIELD, CT 06824-5163
(845) 656-3053
Mailing address
55 WALLS DR, STE 206, FAIRFIELD, CT 06824-5163
(203) 689-8989
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
11/10/2022
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