=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699650416
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AILEEN MURPHY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2025
-----------------------------------------------------
Last Update Date | 08/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 98 MILL PLAIN RD
-----------------------------------------------------
City | DANBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06811-6101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-731-9754
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 TABER RD
-----------------------------------------------------
City | SHERMAN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06784-1224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-898-0201
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 8034
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------