Healthcare Provider Details

I. General information

NPI: 1245502335
Provider Name (Legal Business Name): PAULA ESCUTIA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2012
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 WEST ST
DANBURY CT
06810-6528
US

IV. Provider business mailing address

27 WOODFIELD DR
MIDDLEBURY CT
06762-1515
US

V. Phone/Fax

Practice location:
  • Phone: 203-205-2619
  • Fax:
Mailing address:
  • Phone: 203-241-3432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number002273
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: