Healthcare Provider Details

I. General information

NPI: 1366979544
Provider Name (Legal Business Name): ALAINA PHILLIPS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2017
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 MEADOWBROOK DR
MANCHESTER CT
06042-8519
US

IV. Provider business mailing address

185 MEADOWBROOK DR
MANCHESTER CT
06042-8519
US

V. Phone/Fax

Practice location:
  • Phone: 203-592-9535
  • Fax:
Mailing address:
  • Phone: 203-592-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number002450
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: