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NPI Code Detail

MEDICARE: ROGERS MENTAL WELLNESS SERVICES, LLC

MEDICARE: ROGERS MENTAL WELLNESS SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1134064256
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROGERS MENTAL WELLNESS SERVICES, LLC
Provider Business Mailing Address
First Line : 251 TEXAS AVE
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-1813
Country : US
Telephone Number : 203-218-0752
Fax Number :
Provider Business Practice Location Address
First Line : 251 TEXAS AVE
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-1813
Country : US
Telephone Number : 203-218-0752
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. RENEE ROGERS
Credential : LPC
Telephone Number : 203-218-0752
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ROGERS MENTAL WELLNESS SERVICES, LLC ” Practice Location

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