Healthcare Provider Details

I. General information

NPI: 1588003214
Provider Name (Legal Business Name): SARAH JOANNA PISKALA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2013
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 N MAIN ST
DAYVILLE CT
06241-2170
US

IV. Provider business mailing address

1007 N MAIN ST
DAYVILLE CT
06241-2170
US

V. Phone/Fax

Practice location:
  • Phone: 607-742-0208
  • Fax:
Mailing address:
  • Phone: 860-774-2020
  • Fax: 860-774-0826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5947
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: