Organization
MELINA MANSOUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINA MANSOUR LMFT (OWNER/LMFT)
(860) 378-9605
Entity
Organization
Contact information
Practice address
51 N MAIN ST, SUITE 2D, SOUTHINGTON, CT 06489-2537
(860) 378-9605
(860) 328-3966
Mailing address
1175 S MAIN ST, UNIT 1, PLANTSVILLE, CT 06479-1690
(860) 378-9605
(860) 628-3966
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000462
CT
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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