Healthcare Provider Details

I. General information

NPI: 1881791424
Provider Name (Legal Business Name): LISA MICHELE OKARMUS MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 LEXINGTON ST
NEW BRITAIN CT
06052-1416
US

IV. Provider business mailing address

9 CHIMNEY HILL RD
SHERMAN CT
06784-1306
US

V. Phone/Fax

Practice location:
  • Phone: 860-223-1111
  • Fax:
Mailing address:
  • Phone: 860-350-3347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number000029
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: