Healthcare Provider Details

I. General information

NPI: 1548181803
Provider Name (Legal Business Name): RHONDA LATHROP LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 CONGRESS AVE
NEW HAVEN CT
06519-1312
US

IV. Provider business mailing address

1 LONG WHARF DR STE 321-B
NEW HAVEN CT
06511-5991
US

V. Phone/Fax

Practice location:
  • Phone: 203-781-4600
  • Fax: 203-781-4624
Mailing address:
  • Phone: 203-781-4600
  • Fax: 203-781-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1679
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: