Healthcare Provider Details

I. General information

NPI: 1710819438
Provider Name (Legal Business Name): JOANN D GUAY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 GOVERNORS WAY
MADISON CT
06443-2178
US

IV. Provider business mailing address

16 GOVERNORS WAY
MADISON CT
06443-2178
US

V. Phone/Fax

Practice location:
  • Phone: 203-214-6935
  • Fax:
Mailing address:
  • Phone: 203-214-6935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOANN GUAY
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC, NCC
Phone: 203-214-6935