Healthcare Provider Details

I. General information

NPI: 1225953292
Provider Name (Legal Business Name): LEAH VERAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

986 BEDFORD ST
STAMFORD CT
06905-5610
US

IV. Provider business mailing address

12 SOCIETY HILL RD
WATERBURY CT
06704-1581
US

V. Phone/Fax

Practice location:
  • Phone: 203-324-3167
  • Fax:
Mailing address:
  • Phone: 347-340-6867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: