OrganizationActive
Adult Mind Body Wellness, LLC
NPI 1053735852 · Clinical Social Worker · Stamford, CT
Provider details
- NPI number
- 1053735852
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Judy Stddard, Owner(203) 918-5246
- License
- 006555 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
18 Hollow Oak Ln
Stamford, CT 06905-2309
Phone: (203) 274-5177
Fax: (203) 274-5177
Approximate (ZIP-level) locationGet directions
Mailing address
18 Hollow Oak Ln
Stamford, CT 06905-2309
Registry dates
- Enumerated
- 2014-02-13
- Last updated
- 2014-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.