Healthcare Provider Details
I. General information
NPI: 1093696684
Provider Name (Legal Business Name): INTERIOR CASTLE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
267 WILLIMANTIC RD STE 3
CHAPLIN CT
06235-2532
US
IV. Provider business mailing address
267 WILLIMANTIC RD STE 3
CHAPLIN CT
06235-2532
US
V. Phone/Fax
- Phone: 860-449-3798
- Fax:
- Phone: 860-449-3798
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
LEE
LOUCRAFT
Title or Position: MANAGER/OWNER/LPC
Credential: MS LPC
Phone: 860-449-3798