Healthcare Provider Details

I. General information

NPI: 1053869859
Provider Name (Legal Business Name): DANIELLE RITA COLOPY LPC, LADC, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS DANIELLE RITA OUELLETTE

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 CARTER ROAD
KENT CT
06757
US

IV. Provider business mailing address

81 GOODRICH DR
WETHERSFIELD CT
06109-1120
US

V. Phone/Fax

Practice location:
  • Phone: 860-927-3772
  • Fax:
Mailing address:
  • Phone: 860-878-8181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number46.003628
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number20-390
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number44.001447
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: