Healthcare Provider Details

I. General information

NPI: 1316861743
Provider Name (Legal Business Name): HAYES MITCHELL LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 WHITNEY AVE STE 103
HAMDEN CT
06518-3519
US

IV. Provider business mailing address

1425 ASPEN GLEN DR
HAMDEN CT
06518-5302
US

V. Phone/Fax

Practice location:
  • Phone: 203-528-0121
  • Fax:
Mailing address:
  • Phone: 203-910-2374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9841
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: