Taylor-Austin, Lisa A

Taylor-Austin, Lisa A is an sole proprietor health care provider with primary practice located at 57 Plains Rd Suite 2C, Milford CT 06461-2573. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Taylor-Austin, Lisa A can be contacted via phone (203) 522-6164.

Contact Information

Primary practice address
57 Plains Rd Suite 2C Milford CT 06461-2573
Phone: (203) 522-6164
Fax: (855) 855-1870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0019290 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X 1282 Connecticut

Profile Details

NPI number 1114916574
LBN Legal business name Taylor-Austin, Lisa A
Credentials NCC, LPC, LMHC, CFMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Apr 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114916574 NPPES
Connecticut MEDICAID 008069396981
Connecticut Other 291145000
Connecticut Other 108346
Connecticut Other 240001282CT02
Connecticut Other 264405
Connecticut Other 60054
Connecticut MEDICAID 9000227085

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