Healthcare Provider Details

I. General information

NPI: 1295193464
Provider Name (Legal Business Name): COURTNEY HUANG LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY BROWN

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E MAIN ST
CLINTON CT
06413-2131
US

IV. Provider business mailing address

114 E MAIN ST
CLINTON CT
06413-2131
US

V. Phone/Fax

Practice location:
  • Phone: 860-347-6971
  • Fax:
Mailing address:
  • Phone: 860-347-6971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number003299
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: