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NPI 1043124118

NPI 1043124118 : INSIDEOUT PSYCHOTHERAPY AND WELLNESS PLLC : TRUMBULL, CT

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General NPI Number Information
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    NPI Number           |    1043124118
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSIDEOUT PSYCHOTHERAPY AND WELLNESS PLLC 
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Dates
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    Enumeration Date     |    09/28/2026
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    Last Update Date     |    09/28/2026
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Provider Practice Location Address
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    Address Line         |    34 SENECA DR 
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    City                 |    TRUMBULL
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    State                |    CT
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    Zip                  |    06611-4654
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    Country              |    US
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    Telephone            |    914-227-3770
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    34 SENECA DR 
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    City                 |    TRUMBULL
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    State                |    CT
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    Zip                  |    06611-4654
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    Country              |    US
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    Telephone            |    914-227-3770
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KAITLIN  FIORENTINO 
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    Credential           |    LPC/LMHC
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    Telephone            |    914-227-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    NULL
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