Provider Demographics
NPI:1568345072
Name:PICHLEY COUNSELING SERVICES
Entity type:Organization
Organization Name:PICHLEY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:PICHULO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-901-8054
Mailing Address - Street 1:196 E MAIN ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-5607
Mailing Address - Country:US
Mailing Address - Phone:203-901-8054
Mailing Address - Fax:203-901-8054
Practice Address - Street 1:196 E MAIN ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-5607
Practice Address - Country:US
Practice Address - Phone:203-901-8054
Practice Address - Fax:203-901-8054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health