Provider Demographics
NPI:1275109068
Name:SCIGLIMPAGLIA-VIGUE, EMILY L (MS, LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:L
Last Name:SCIGLIMPAGLIA-VIGUE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WESTCHESTER HLS UNIT H
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-2516
Mailing Address - Country:US
Mailing Address - Phone:860-634-4277
Mailing Address - Fax:
Practice Address - Street 1:8 WESTCHESTER HLS UNIT H
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-2516
Practice Address - Country:US
Practice Address - Phone:860-634-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4929101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional