Healthcare Provider Details

I. General information

NPI: 1174447031
Provider Name (Legal Business Name): SEA & SAGE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 WASHINGTON AVE STE 2
NORTH HAVEN CT
06473-1123
US

IV. Provider business mailing address

21 HAYES ST
MERIDEN CT
06451-6214
US

V. Phone/Fax

Practice location:
  • Phone: 203-214-1399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA SOUFRINE
Title or Position: PSYCHOTHERAPIST
Credential: MS, NCC, LPC, LMHC
Phone: 203-214-1399