Active NPIIndividual provider

Mrs. Miranda L Luis, LPC

Counselor, Professional in Roxbury, Connecticut

NPI Number1902662414
Practice location
26 North St, Roxbury, CT 06783-9992
Fax
—
Last updated
May 7, 2024

Miranda Lindsay Luis is a Counselor, Professional based in Roxbury, CT. Miranda Lindsay Luis practices in Roxbury, CT and has the professional credentials of LPC. The NPI Number for Miranda Lindsay Luis is 1902662414 and holds a License No. 7293 (CT). The current practice location address for Miranda Lindsay Luis is 26 North St, Roxbury, CT 06783-9992 and can be reached out via phone at 203-885-4618.

Provider Profile Details

NPI Number
1902662414
Provider Name
Miranda Lindsay Luis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
26 North St, Roxbury, CT 06783-9992
Phone Number
203-885-4618
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Other Names
Miss Miranda L Yachulke (Former Name)
Provider Enumeration Date
February 22, 2024
Last Update Date
May 7, 2024
Certification Date
May 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 North St
Roxbury, CT 06783-9992
Zip
06783-9992
Phone Number
203-885-4618
Roxbury, CT 06783Get directions →

Provider Business Mailing Address Details

Address
4 Horseshoe Dr
Brookfield, CT 06804-1926
City
Brookfield
State
CT
Zip
06804-1926
Phone Number
203-885-4618

License Information

License Number
7293
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Miranda L Luis, LPC?

The NPI number of Mrs. Miranda L Luis, LPC is 1902662414. It was assigned on February 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Miranda L Luis, LPC?

Mrs. Miranda L Luis, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 7293.

Where does Mrs. Miranda L Luis, LPC practice?

The practice location is 26 North St, Roxbury, CT 06783-9992. The office can be reached at 203-885-4618 (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 1902662414 directly on the NPPES registry website.

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