Halstead, Mailae-Bryzile

Halstead, Mailae-Bryzile is an individual health care provider with primary practice located at 392 Merrow Rd Ste E , Tolland CT 06084-3974. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Halstead, Mailae-Bryzile can be contacted via phone (860) 830-7838.

Contact Information

Primary practice address
392 Merrow Rd Ste E Tolland CT 06084-3974
Phone: (860) 830-7838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3936 Connecticut

Profile Details

NPI number 1932743804
LBN Legal business name Halstead, Mailae-Bryzile
Credentials LPCA, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2019
Last updated Nov 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932743804 NPPES
Connecticut Other 1326351412 OUT OF POCKET

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