Organization · Type 2 NPI

Emh Family Services PC

Marriage & Family Therapist · Fairfield, CT

NPI number 1619611464 Active

Practice location

55 Walls Dr, Ste 206
Fairfield, CT 06824-5163

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

6 other providers at this address

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NPI record

NPI: 1619611464
Entity type: Organization (Type 2)
Issued: Apr 26, 2022
Last updated: Nov 10, 2022
Status: Active

Other names

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Ellie Mental Health · doing business as
Ellie Mental Health · doing business as

Authorized official

Mr. Michael Jay Pisco, LMFT
Clinic Director
(845) 656-3053

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619611464

Emh Family Services PC's National Provider Identifier is 1619611464, issued on Apr 26, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fairfield, CT. The record was last updated on Nov 10, 2022.