Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JOHN FORMICA, LPC
Active Sole ProprietorMICHAEL JOHN FORMICA, LPC is a Mental Health Counselor healthcare provider located in GROTON, Connecticut. NPI 1174688311 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · GROTON, CT
Registration Details
- NPI Number
- 1174688311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2006 (19.62323138207 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000869 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
616 GOLD STAR HWYGROTON, CT, 063406221Browse CT providers · Browse ZIP 06340
- Phone
- 8604490200
- Fax
- 8604491954
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in GROTON, CT
| Name | Credential | NPI |
|---|---|---|
| DR. F. HENRY DORAN | D.MIN, LPC | 1184778250 |
| DR. SCOTT T. SERVISS | PSY.D. | 1457498164 |
| KATHERINE E HIGHTER | — | 1912191875 |
| JOHANNA HOLLIDAY | LPC | 1841488152 |
| MRS. SARA ANN M. JAKUB | LPC | 1285811265 |
| RACHEL SKELTON | — | 1609498526 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.