Healthcare Provider Details

I. General information

NPI: 1124658489
Provider Name (Legal Business Name): ELAINA NICOLE LAYDEN-BORRELLI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2020
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 VICTORIA AVE
NEWINGTON CT
06111-2060
US

IV. Provider business mailing address

16 VICTORIA AVE
NEWINGTON CT
06111-2060
US

V. Phone/Fax

Practice location:
  • Phone: 203-704-6417
  • Fax: 203-720-6311
Mailing address:
  • Phone: 203-704-6417
  • Fax: 203-720-6311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4214
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: