Active NPIIndividual providerSole proprietor

Kayla Nickerson Gauthier, LMFT

Marriage & Family Therapist in Mystic, Connecticut

NPI Number1922554120
Practice location
41 Williams Ave, Mystic, CT 06355
Fax
—
Last updated
June 4, 2018

Kayla Nickerson Gauthier is a Marriage & Family Therapist based in Mystic, CT. Kayla Nickerson Gauthier practices in Mystic, CT and has the professional credentials of LMFT. The NPI Number for Kayla Nickerson Gauthier is 1922554120 and holds a License No. 1832 (CT). The current practice location address for Kayla Nickerson Gauthier is 41 Williams Ave, Mystic, CT 06355 and can be reached out via phone at 860-961-5702.

Provider Profile Details

NPI Number
1922554120
Provider Name
Kayla Nickerson Gauthier
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
41 Williams Ave, Mystic, CT 06355
Phone Number
860-961-5702
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 28, 2016
Last Update Date
June 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Williams Ave
Mystic, CT 06355
City
Mystic
Zip
06355
Phone Number
860-961-5702
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
140 Ross Hill RD
Lisbon, CT 06351-2824
City
Lisbon
State
CT
Zip
06351-2824
Phone Number
860-373-8802

License Information

Taxonomy (1)
Marriage & Family Therapist · 106H00000X
License Number (2)
1832
License State (2)
CT
Taxonomy (2)
Marriage & Family Therapist · 106H00000X · 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 Kayla Nickerson Gauthier, LMFT?

The NPI number of Kayla Nickerson Gauthier, LMFT is 1922554120. It was assigned on August 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Kayla Nickerson Gauthier, LMFT?

Kayla Nickerson Gauthier, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 1832.

Where does Kayla Nickerson Gauthier, LMFT practice?

The practice location is 41 Williams Ave, Mystic, CT 06355. The office can be reached at 860-961-5702 (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 1922554120 directly on the NPPES registry website.

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