Healthcare Provider Details

I. General information

NPI: 1023942919
Provider Name (Legal Business Name): SEASIDE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 E MAIN ST
BRANFORD CT
06405-2914
US

IV. Provider business mailing address

140 AUSTIN RYER LN
BRANFORD CT
06405-2666
US

V. Phone/Fax

Practice location:
  • Phone: 475-422-2246
  • Fax:
Mailing address:
  • Phone: 475-422-2246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ADARA HOLECZ
Title or Position: OWNER
Credential: LCSW
Phone: 475-441-4192