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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

Other

Enumeration date
04/26/2022
Last updated
11/10/2022
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