Redeem Wellness Center, Llc
LBN: Redeem Wellness Center, Llc
Redeem Wellness Center, Llc is an health care organization with primary practice located at 3180 Main St Ste 106 , Bridgeport CT 06606-4237. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Redeem Wellness Center, Llc can be contacted via phone (203) 208-3940, or through Cullen, Grace via phone (203) 368-5515.
Contact Information
Primary practice address
3180 Main St Ste 106
Bridgeport CT 06606-4237
Phone: (203) 208-3940
Fax: (203) 372-3272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1144876392 |
|---|---|
| LBN Legal business name | Redeem Wellness Center, Llc |
| DBA Doing business as | |
| Authorized official | Cullen, Grace |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 14th, 2019 |
| Last updated | Sep 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144876392 | NPPES |
| Connecticut | MEDICAID | 004069985 |
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