Healthcare Provider Details

I. General information

NPI: 1811801012
Provider Name (Legal Business Name): JA'LIZA MICHAUX LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MILL PLAIN RD FL 3
DANBURY CT
06811-5189
US

IV. Provider business mailing address

206 APPLE CREEK LN
SANTA ROSA CA
95401-6182
US

V. Phone/Fax

Practice location:
  • Phone: 203-800-9778
  • Fax:
Mailing address:
  • Phone: 203-800-9778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number133830
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12422
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: