Shannon G Bazelais, LPC
Counselor, Professional in Darien, Connecticut
1427612886- Practice location
- 30 Old Kings Hwy S, Darien, CT 06820-4551
- Phone
- 203-883-0464
- Fax
- —
- Last updated
- April 30, 2019
Shannon Gillian Bazelais is a Counselor, Professional based in Darien, CT. Shannon Gillian Bazelais practices in Darien, CT and has the professional credentials of LPC. The NPI Number for Shannon Gillian Bazelais is 1427612886 and holds a License No. 003072 (CT). The current practice location address for Shannon Gillian Bazelais is 30 Old Kings Hwy S, Darien, CT 06820-4551 and can be reached out via phone at 203-883-0464.
Provider Profile Details
- NPI Number
- 1427612886
- Provider Name
- Shannon Gillian Bazelais
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Old Kings Hwy S, Darien, CT 06820-4551
- Phone Number
- 203-883-0464
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 30, 2019
- Last Update Date
- April 30, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Old Kings Hwy S
Darien, CT 06820-4551 - City
- Darien
- State
- Connecticut
- Zip
- 06820-4551
- Phone Number
- 203-883-0464
Provider Business Mailing Address Details
- Address
- 12 Tuttle St Apt 3B
Stamford, CT 06902-4636 - City
- Stamford
- State
- CT
- Zip
- 06902-4636
- Phone Number
- 203-832-5661
License Information
- License Number
- 003072
- 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 Shannon G Bazelais, LPC?
The NPI number of Shannon G Bazelais, LPC is 1427612886. It was assigned on April 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Shannon G Bazelais, LPC?
Shannon G Bazelais, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 003072.
Where does Shannon G Bazelais, LPC practice?
The practice location is 30 Old Kings Hwy S, Darien, CT 06820-4551. The office can be reached at 203-883-0464 (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 1427612886 directly on the NPPES registry website.