Organization
LIFT TEEN AND PARENT WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DOBSON MA, LMFT, CEDS (CEO, FOUNDER)
(203) 526-3215
Entity
Organization
Contact information
Practice address
8 MYRTLE AVE, WESTPORT, CT 06880-3511
(203) 526-3215
Mailing address
116 MILE COMMON RD, EASTON, CT 06612-1506
(203) 526-3215
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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