Mia Vita Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MIA VITA COUNSELING LLC

Practice address

425 Dixwell Ave
New Haven, CT 06511-1771

Phone

(203) 489-6524

NPI assigned

Jul 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mallory R Devona, LPCNPI 1861876211

Title

Owner

Phone

(860) 857-4769

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mallory Rose Devona, MS, NCC, LPC

  • Counselor
  • Waterford, CT
  • NPI 1861876211
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1215413505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GREAT NECK RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063853504",
            "telephone_number": "860-857-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DIXWELL AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111771",
            "telephone_number": "203-489-6524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Great Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "CT",
            "postal_code": "063853504",
            "country_code": "US",
            "telephone_number": "860-857-4769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIA VITA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DEVONA",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-857-4769",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Dawn Meyers
• Alejandra Isabel Meza Contreras, MD
• Luis Andres Meza Contreras, MD
• Kenechukwu N. Mezue, MD
• Frank Matthew Mezzacappa, MD
• Jennifer Miao, MD
• Vanessa Reid Micah, APRN
• Goran Micevic, MD,PHD
• Oluwadamilola Michael
• Chloe Michaelis, APRN

• Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.