Healthcare Provider Details

I. General information

NPI: 1780523753
Provider Name (Legal Business Name): SHAMAREE BRISSETT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 CHURCH ST FL 19
NEW HAVEN CT
06510-2100
US

IV. Provider business mailing address

157 CHURCH ST FL 19
NEW HAVEN CT
06510-2100
US

V. Phone/Fax

Practice location:
  • Phone: 203-868-0378
  • Fax:
Mailing address:
  • Phone: 203-868-0378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9541
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: