Provider Demographics
NPI:1841076809
Name:CAREY, MARIAH (NCC, LPC-A)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:NCC, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 SUMMER ST UNIT 102
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2316
Mailing Address - Country:US
Mailing Address - Phone:570-852-7424
Mailing Address - Fax:
Practice Address - Street 1:98 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5029
Practice Address - Country:US
Practice Address - Phone:203-580-6660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6725101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health