Healthcare Provider Details

I. General information

NPI: 1245192046
Provider Name (Legal Business Name): KORINN MARIE TAYLOR LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 LITCHFIELD ST
TORRINGTON CT
06790-6602
US

IV. Provider business mailing address

354 WOODBURY RD APT 5
WATERTOWN CT
06795-1732
US

V. Phone/Fax

Practice location:
  • Phone: 860-866-8975
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9164
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: