Healthcare Provider Details

I. General information

NPI: 1902683030
Provider Name (Legal Business Name): ARIELLE ROGERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 WASHINGTON AVE STE 19
HAMDEN CT
06518-3026
US

IV. Provider business mailing address

168 WASHINGTON AVE
WEST HAVEN CT
06516-6075
US

V. Phone/Fax

Practice location:
  • Phone: 508-685-9827
  • Fax:
Mailing address:
  • Phone: 508-685-9827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number008246
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: