Healthcare Provider Details

I. General information

NPI: 1881527141
Provider Name (Legal Business Name): LAUGHING MOON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 FARMINGTON AVE
BERLIN CT
06037-2301
US

IV. Provider business mailing address

8 JANET DR FL 2
NEW BRITAIN CT
06053-1707
US

V. Phone/Fax

Practice location:
  • Phone: 860-888-2286
  • Fax:
Mailing address:
  • Phone: 860-888-2286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA KNIERING
Title or Position: THERAPIST/OWNER
Credential: LPC
Phone: 860-888-2286