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NPI Code Detail

MEDICARE: MS. KAYLA LUGO CARTER

MEDICARE:  MS. KAYLA LUGO CARTER
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
1101YM0800XMental Health Counselor
2104100000XSocial Worker
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1649651985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAYLA LUGO CARTER
Provider Business Mailing Address
First Line : 2 WATERSIDE XING STE 401
Second Line :
City : WINDSOR
State : CT
Zip : 06095-1588
Country : US
Telephone Number : 860-731-5522
Fax Number : 860-731-5536
Provider Business Practice Location Address
First Line : 999 ASYLUM AVE STE 502
Second Line :
City : HARTFORD
State : CT
Zip : 06105-2475
Country : US
Telephone Number : 860-731-5522
Fax Number : 860-731-5536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2015
Last Update Date : 08/12/2022

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Directions to “ MS. KAYLA LUGO CARTER ” Practice Location

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