Wellformed AI

NPI 1609291400 · live from the CMS NPI Registry

Adult Mind And Body Wellness, LLC

Social Worker, Clinical in Stamford, CT. National Provider Identifier 1609291400, active.

NPI record

NPI1609291400 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location18 Hollow Oak Ln, Stamford, CT 06905
Practice phone203-918-5246
EnumeratedMarch 3, 2014
Last updatedJuly 19, 2019
Authorized officialJudy Stoddard, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.