Mckenzie M Tavella, LPC-A
Counselor, Professional in Fairfield, Connecticut
1124774096- Practice location
- 45 Sherman St, Fairfield, CT 06824-5874
- Phone
- 203-984-4838
- Fax
- —
- Last updated
- May 1, 2026
Mckenzie Marianne Tavella is a Counselor, Professional based in Fairfield, CT. Mckenzie Marianne Tavella practices in Fairfield, CT and has the professional credentials of LPC-A. The NPI Number for Mckenzie Marianne Tavella is 1124774096 and holds a License No. 5452 (CT). The current practice location address for Mckenzie Marianne Tavella is 45 Sherman St, Fairfield, CT 06824-5874 and can be reached out via phone at 203-984-4838.
Provider Profile Details
- NPI Number
- 1124774096
- Provider Name
- Mckenzie Marianne Tavella
- Credential
- LPC-A
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 45 Sherman St, Fairfield, CT 06824-5874
- Phone Number
- 203-984-4838
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 1, 2022
- Last Update Date
- May 1, 2026
- Certification Date
- May 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Sherman St
Fairfield, CT 06824-5874 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-5874
- Phone Number
- 203-984-4838
Provider Business Mailing Address Details
- Address
- 45 Sherman St
Fairfield, CT 06824-5874 - City
- Fairfield
- State
- CT
- Zip
- 06824-5874
- Phone Number
- 203-984-4838
License Information
- License Number
- 5452
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mckenzie M Tavella, LPC-A?
The NPI number of Mckenzie M Tavella, LPC-A is 1124774096. It was assigned on March 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Mckenzie M Tavella, LPC-A?
Mckenzie M Tavella, LPC-A is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 5452.
Where does Mckenzie M Tavella, LPC-A practice?
The practice location is 45 Sherman St, Fairfield, CT 06824-5874. The office can be reached at 203-984-4838 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124774096 directly on the NPPES registry website.