Individual
MRS. MAILAE-BRYZILE HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, NCC
Contact information
Practice address
642 HILLIARD ST # 1320, MANCHESTER, CT 06042-2701
(203) 343-0081
Mailing address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
(203) 343-0081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3936
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326351412
OUT OF POCKET
CT
Enumeration date
11/04/2019
Last updated
09/22/2025
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