Provider Demographics
NPI:1871146571
Name:PERLINI, NICOLE A (LMFT)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:A
Last Name:PERLINI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:A
Other - Last Name:ARKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:266 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479-1851
Mailing Address - Country:US
Mailing Address - Phone:610-739-2935
Mailing Address - Fax:
Practice Address - Street 1:350 GEORGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6617
Practice Address - Country:US
Practice Address - Phone:203-415-9689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT27.002096106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist