Provider Demographics
NPI:1124258900
Name:CHEIJ, LUISA (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:LUISA
Middle Name:
Last Name:CHEIJ
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BRIDLE CIR
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-2378
Mailing Address - Country:US
Mailing Address - Phone:860-489-8056
Mailing Address - Fax:860-618-5732
Practice Address - Street 1:7 BRIDLE CIR
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-2378
Practice Address - Country:US
Practice Address - Phone:413-441-2074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000862251S00000X
CT0862101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No251S00000XAgenciesCommunity/Behavioral Health