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Organization
REDEEM WELLNESS CENTER II, LLC
Active
Organization
REDEEM WELLNESS CENTER II, LLC
Active
Parent organization
REDEEM WELLNESS CENTER, LLC
Other names
Redeem Wellness Center, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDEEM WELLNESS CENTER, LLC
Authorized official
MARCOS ROSA LMFT (OWNER)
(203) 208-3940
Entity
Organization
Contact information
Practice address
19 LUDLOW RD, WESTPORT, CT 06880-3040
(203) 208-3940
(203) 693-4900
Mailing address
19 LUDLOW RD, WESTPORT, CT 06880-3040
(203) 208-3940
(203) 693-4900
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008089942
—
CT
Enumeration date
12/05/2021
Last updated
12/05/2021
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