Healthcare Provider Details

I. General information

NPI: 1497996714
Provider Name (Legal Business Name): KAREN URBANO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KAREN ANN URBANO GREGAITIS

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2096 B 2ND FLOOR SILAS DEANE HIGHWAY
ROCKY HILL CT
06067
US

IV. Provider business mailing address

2096 B 2ND FLOOR SILAS DEANE HIGHWAY
ROCKY HILL CT
06067
US

V. Phone/Fax

Practice location:
  • Phone: 860-304-9633
  • Fax:
Mailing address:
  • Phone: 860-304-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number002109
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: