Healthcare Provider Details

I. General information

NPI: 1629995113
Provider Name (Legal Business Name): BUTTERFLY TRANSFORMATIONS BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

476 N COLONY ST
WALLINGFORD CT
06492-3127
US

IV. Provider business mailing address

476 N COLONY ST
WALLINGFORD CT
06492-3127
US

V. Phone/Fax

Practice location:
  • Phone: 203-679-9702
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LACOMB
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 203-631-2618