Healthcare Provider Details

I. General information

NPI: 1861316713
Provider Name (Legal Business Name): MAPLE COUNSELING & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 JUNIPER DRIVE
WINDSOR LOCKS CT
06096
US

IV. Provider business mailing address

14 HAZARD AVE STE 23
ENFIELD CT
06082-3713
US

V. Phone/Fax

Practice location:
  • Phone: 203-626-4702
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. MONIKA OBERMEIER
Title or Position: OWNER
Credential: LPC
Phone: 203-626-4702