Healthcare Provider Details

I. General information

NPI: 1639093487
Provider Name (Legal Business Name): ALESSANDRA ARBOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1 BLACHLEY RD
STAMFORD CT
06902-0002
US

IV. Provider business mailing address

25 MELBOURNE RD
NORWALK CT
06851-5820
US

V. Phone/Fax

Practice location:
  • Phone: 203-705-0727
  • Fax:
Mailing address:
  • Phone: 917-861-4138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number146713
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: