Healthcare Provider Details

I. General information

NPI: 1508533381
Provider Name (Legal Business Name): LAURA L BERTRAND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 MAIN ST STE 205
TORRINGTON CT
06790-5206
US

IV. Provider business mailing address

257 MAIN ST STE 205
TORRINGTON CT
06790-5206
US

V. Phone/Fax

Practice location:
  • Phone: 860-733-3280
  • Fax:
Mailing address:
  • Phone: 860-733-3280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number005014
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: