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Organization

REDEEM WELLNESS CENTER II, LLC

Active
Parent organization
REDEEM WELLNESS CENTER, LLC
Other names
Redeem Wellness Center, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
REDEEM WELLNESS CENTER, LLC
Authorized official
MARCOS ROSA LMFT (OWNER)
(203) 208-3940
Entity
Organization

Contact information

Practice address
19 LUDLOW RD, WESTPORT, CT 06880-3040
(203) 208-3940
(203) 693-4900
Mailing address
19 LUDLOW RD, WESTPORT, CT 06880-3040
(203) 208-3940
(203) 693-4900

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008089942
CT
Enumeration date
12/05/2021
Last updated
12/05/2021
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