The Bluest Iris PLLC
Marriage & Family Therapist in West Haven, CT. Organization (NPI-2).
NPI number1194528596
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1194528596
- Entity type
- Organization (NPI-2)
- Legal business name
- The Bluest Iris PLLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
212 Blohm St # 2West Haven, CT 06516-6007
Phone 203-600-4546
Mailing address
212 Blohm St # 2West Haven, CT 06516-6007
Phone 203-600-4546
Authorized official
Alexandra Marvel Miranda-Castillo
Owner
2036004546
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