PHOUANGMALY PHIMVONGSA L.P.C
NPI 1821156498
Counselor in Windsor Locks, CT

Active since December 05, 2006
82 MAIN ST, WINDSOR LOCKS, CT 06096(860) 254-5127(860) 310-4235 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phouangmaly Phimvongsa L.p.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOUANGMALY PHIMVONGSA L.P.C (NPI 1821156498) is an individual counselor in Windsor Locks, Connecticut, licensed in Connecticut (001470) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1821156498
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NamePHOUANGMALY PHIMVONGSACredential: L.P.C
Location Address82 MAIN STWindsor Locks, CT 06096-2325
Mailing Address82 Main StWindsor Locks, CT 06096-2325 · (860) 254-5127 · Fax (860) 310-4235
Fax(860) 310-4235
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateDecember 19, 2019
NPI 1821156498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in CT · 001470
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
82 MAIN ST, Windsor Locks, CT 06096

Other Names 1

Other Name (5)Maly Phimvongsa Lpc

Other Identifiers 1

Medicaid004257053CT

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
82 MAIN ST
WINDSOR LOCKS, CT 06096
Counselor (Professional)
82 MAIN ST
WINDSOR LOCKS, CT 06096

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phouangmaly Phimvongsa's NPI number?

The NPI number for Phouangmaly Phimvongsa is 1821156498. It was assigned to this individual provider in the NPPES registry on December 5, 2006. The provider is also known as Maly Phimvongsa Lpc.

Where is Phouangmaly Phimvongsa located?

Phouangmaly Phimvongsa practices at 82 Main St, Windsor Locks, CT 06096. The listed phone number is (860) 254-5127.

What is Phouangmaly Phimvongsa's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Phouangmaly Phimvongsa was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.