Organization
SMALL VICTORIES WELLNESS SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRISSA PHIPPS PHD (LICENSED PSYCHOLOGIST)
(860) 740-2041
Entity
Organization
Contact information
Practice address
360 MAIN ST STE 2D, MIDDLETOWN, CT 06457-3375
(860) 248-6041
Mailing address
360 MAIN ST STE 2D, MIDDLETOWN, CT 06457-3375
(860) 248-6041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
01/13/2022
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