Provider Demographics
NPI:1598646929
Name:STANLEY, CYANNE ELIZABETH (LPCA)
Entity type:Individual
Prefix:
First Name:CYANNE
Middle Name:ELIZABETH
Last Name:STANLEY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 CLAUDIA DR APT 257
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-3018
Mailing Address - Country:US
Mailing Address - Phone:203-545-4538
Mailing Address - Fax:
Practice Address - Street 1:2 TRAP FALLS RD STE 120
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-7621
Practice Address - Country:US
Practice Address - Phone:475-888-1114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6819101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health