Healthcare Provider Details

I. General information

NPI: 1942144738
Provider Name (Legal Business Name): JAMES MICHAEL LITTLE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MICHAEL LITTLE LPCA

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 MAPLEWOOD TERRACE EXT
HAMDEN CT
06514-3013
US

IV. Provider business mailing address

117 MAPLEWOOD TERRACE EXT
HAMDEN CT
06514-3013
US

V. Phone/Fax

Practice location:
  • Phone: 646-320-7526
  • Fax:
Mailing address:
  • Phone: 646-320-7526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9483
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: