Individual
MS. LISA A TAYLOR-AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LMHC, CFMH
Contact information
Practice address
57 PLAINS RD, SUITE 2C, MILFORD, CT 06461-2573
(203) 522-6164
(855) 855-1870
Mailing address
415 BOSTON POST RD STE 3-1118, MILFORD, CT 06460-2578
(203) 522-6164
(855) 855-1870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0019290
CO
101YP2500X
Professional Counselor
Primary
1282
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008069396981
—
CT
01
—
108346
UBH
CT
01
—
240001282CT02
ANTHEM
CT
01
—
264405
MHN
CT
01
—
291145000
MAGELLAN
CT
01
—
60054
AETNA
CT
05
—
9000227085
—
CO
Enumeration date
10/18/2005
Last updated
04/29/2024
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