=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609795392
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HEATHER JOAN DELANEY LADC, LPCA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2026
-----------------------------------------------------
Last Update Date | 07/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 110 COUNTRY CLUB DR
-----------------------------------------------------
City | OXFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06478-1189
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-360-1790
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 COUNTRY CLUB DR
-----------------------------------------------------
City | OXFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06478-1189
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 1671
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 9618
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------