Healthcare Provider Details

I. General information

NPI: 1043124118
Provider Name (Legal Business Name): INSIDEOUT PSYCHOTHERAPY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 SENECA DR
TRUMBULL CT
06611-4654
US

IV. Provider business mailing address

34 SENECA DR
TRUMBULL CT
06611-4654
US

V. Phone/Fax

Practice location:
  • Phone: 914-227-3770
  • Fax:
Mailing address:
  • Phone: 914-227-3770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAITLIN FIORENTINO
Title or Position: OWNER
Credential: LPC/LMHC
Phone: 914-227-3770