Provider Demographics
NPI:1386043982
Name:LEMAY, NAYDA (LADC, MED)
Entity Type:Individual
Prefix:
First Name:NAYDA
Middle Name:
Last Name:LEMAY
Suffix:
Gender:F
Credentials:LADC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-2916
Mailing Address - Country:US
Mailing Address - Phone:860-983-7622
Mailing Address - Fax:
Practice Address - Street 1:91 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-5817
Practice Address - Country:US
Practice Address - Phone:860-983-7622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1088101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)