Provider Demographics
NPI:1013634575
Name:LACHAPELLE, KACIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KACIE
Middle Name:
Last Name:LACHAPELLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LONG HILL DR
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:CT
Mailing Address - Zip Code:06071-1266
Mailing Address - Country:US
Mailing Address - Phone:413-364-7774
Mailing Address - Fax:
Practice Address - Street 1:8 LONG HILL DR
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:CT
Practice Address - Zip Code:06071-1266
Practice Address - Country:US
Practice Address - Phone:413-364-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5694101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health