Healthcare Provider Details

I. General information

NPI: 1750221214
Provider Name (Legal Business Name): KAITLYN LEE POWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 GEORGE ST
DANBURY CT
06810-7739
US

IV. Provider business mailing address

2 FOX HOLLOW RD
NEW FAIRFIELD CT
06812-2632
US

V. Phone/Fax

Practice location:
  • Phone: 860-500-1994
  • Fax:
Mailing address:
  • Phone: 203-885-9967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: