Healthcare Provider Details

I. General information

NPI: 1144797242
Provider Name (Legal Business Name): DAVID MORIN LMFT-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 STRAITS TPKE STE C107
MIDDLEBURY CT
06762-2865
US

IV. Provider business mailing address

900 STRAITS TPKE STE C107
MIDDLEBURY CT
06762-2865
US

V. Phone/Fax

Practice location:
  • Phone: 475-233-3944
  • Fax: 203-866-1181
Mailing address:
  • Phone: 475-233-3944
  • Fax: 203-866-1181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3417
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: