Organization
IMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INGER MAI SJOGREN LPC (OWNER CLINICIAN)
(203) 493-6557
Entity
Organization
Contact information
Practice address
225 MAIN ST STE 203, WESTPORT, CT 06880-3216
(203) 493-6557
(203) 762-7658
Mailing address
35 GRAENEST RIDGE RD, WILTON, CT 06897-2929
(203) 247-7546
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881130631
INDIVIDUAL NPI
—
01
—
3530
LPC LICENSE
CT
Enumeration date
01/08/2019
Last updated
01/08/2019
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