Healthcare Provider Details

I. General information

NPI: 1871400614
Provider Name (Legal Business Name): INNER CALM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095B S MAIN ST
CHESHIRE CT
06410-3432
US

IV. Provider business mailing address

283 SILVERBROOK RD APT 11
ORANGE CT
06477-3540
US

V. Phone/Fax

Practice location:
  • Phone: 203-806-0732
  • Fax:
Mailing address:
  • Phone: 203-209-7939
  • 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: VICKIE PAGAN
Title or Position: LCSW
Credential: LCSW
Phone: 203-209-7939