NPI 1053735852 · live from the CMS NPI Registry
Adult Mind Body Wellness, LLC
Social Worker, Clinical in Stamford, CT. National Provider Identifier 1053735852, active.
NPI record
| NPI | 1053735852 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 18 Hollow Oak Ln, Stamford, CT 06905 |
| Practice phone | 203-274-5177 |
| Enumerated | February 13, 2014 |
| Last updated | February 13, 2014 |
| Authorized official | Judy Stddard, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 006555 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.