Organization
PARK CITY WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE TAYLOR LPC (OWNER)
(203) 395-8412
Entity
Organization
Contact information
Practice address
1000 LAFAYETTE BLVD, SUITE 1142, BRIDGEPORT, CT 06604-4725
(203) 395-8412
(203) 683-5901
Mailing address
1000 LAFAYETTE BLVD, SUITE 1142, BRIDGEPORT, CT 06604-4725
(203) 395-8412
(203) 683-5901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002646
CT
Other
Enumeration date
08/11/2016
Last updated
09/13/2016
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