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Perennial Wellness PLLC

Psychologist, Counseling in Westport, CT. Organization (NPI-2).

NPI number1164045100
StatusActive
Last updated in NPPESMay 26, 2020

Details

NPI
1164045100
Entity type
Organization (NPI-2)
Legal business name
Perennial Wellness PLLC
Organization subpart
No
Enumeration date
May 26, 2020
Certification date
May 26, 2020
Last updated
May 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC1900X Psychologist, Counseling––Yes

Practice location

250 Post Rd E Ste 106
Westport, CT 06880-3616

Phone 617-462-1910

Mailing address

21 Little Fox Ln
Wilton, CT 06897-3222

Phone 617-462-1910

Authorized official

Emma Levine
Licensed Psychologist
6174621910

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