Healthcare Provider Details

I. General information

NPI: 1902740152
Provider Name (Legal Business Name): ABIGAIL SOLOWAY LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BRADLEY RD STE 404
WOODBRIDGE CT
06525-2235
US

IV. Provider business mailing address

360 STATE ST APT 2514
NEW HAVEN CT
06510-3625
US

V. Phone/Fax

Practice location:
  • Phone: 203-298-9005
  • Fax:
Mailing address:
  • Phone: 203-984-2598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6157
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: