Provider Demographics
NPI:1720243710
Name:GOHIL, ADITI H (LPC)
Entity Type:Individual
Prefix:
First Name:ADITI
Middle Name:H
Last Name:GOHIL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ADITI
Other - Middle Name:
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:567 VAUXHALL STREET EXT STE 303
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-4341
Mailing Address - Country:US
Mailing Address - Phone:860-800-2421
Mailing Address - Fax:860-308-1541
Practice Address - Street 1:567 VAUXHALL STREET EXT STE 303
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-4341
Practice Address - Country:US
Practice Address - Phone:860-800-2421
Practice Address - Fax:860-308-1541
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-19
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2760101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health