Mikala M Coppolella, MA, LPC
Counselor, Professional in Fairfield, Connecticut
1720759350- Practice location
- 55 Walls Dr Ste 206, Fairfield, CT 06824-5180
- Phone
- 203-689-8989
- Fax
- —
- Last updated
- July 12, 2024
Mikala Marie Coppolella is a Counselor, Professional based in Fairfield, CT. Mikala Marie Coppolella practices in Fairfield, CT and has the professional credentials of MA, LPC. The NPI Number for Mikala Marie Coppolella is 1720759350 and holds a License No. 5187 (CT). The current practice location address for Mikala Marie Coppolella is 55 Walls Dr Ste 206, Fairfield, CT 06824-5180 and can be reached out via phone at 203-689-8989.
Provider Profile Details
- NPI Number
- 1720759350
- Provider Name
- Mikala Marie Coppolella
- Credential
- MA, LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Walls Dr Ste 206, Fairfield, CT 06824-5180
- Phone Number
- 203-689-8989
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 23, 2021
- Last Update Date
- July 12, 2024
- Certification Date
- July 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Walls Dr Ste 206
Fairfield, CT 06824-5180 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-5180
- Phone Number
- 203-689-8989
Provider Business Mailing Address Details
- Address
- 35 Edward St
West Haven, CT 06516-4104 - City
- West Haven
- State
- CT
- Zip
- 06516-4104
License Information
- License Number (1)
- 5187
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 5741
- License State (2)
- CT
- Taxonomy (2)
- 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 Mikala M Coppolella, MA, LPC?
The NPI number of Mikala M Coppolella, MA, LPC is 1720759350. It was assigned on September 23, 2021 and is currently active in the NPPES registry.
What is the specialty of Mikala M Coppolella, MA, LPC?
Mikala M Coppolella, MA, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 5187.
Where does Mikala M Coppolella, MA, LPC practice?
The practice location is 55 Walls Dr Ste 206, Fairfield, CT 06824-5180. The office can be reached at 203-689-8989 (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 1720759350 directly on the NPPES registry website.