MEDICARE: MS. MICHELLE-LISA WELLER VOEGTLE L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	001591	CT

General Provider Information

NPI Number	:	1104025378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE-LISA WELLER VOEGTLE L.P.C.

Provider Business Mailing Address
First Line	:	2 WESTRIDGE DRIVE
Second Line	:
City	:	SIMSBURY
State	:	CT
Zip	:	06070
Country	:	US
Telephone Number	:	860-309-1013
Fax Number	:

Provider Business Practice Location Address
First Line	:	1509 GLEASONS LANDING CT
Second Line	:
City	:	SAINT HELENA ISLAND
State	:	SC
Zip	:	29920-3816
Country	:	US
Telephone Number	:	860-309-1013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	01/31/2025

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