Provider Demographics
NPI:1215238191
Name:CAPRI, LORI B (MS, MHA)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:B
Last Name:CAPRI
Suffix:
Gender:F
Credentials:MS, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 FARVIEW AVENUE, #3
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810
Mailing Address - Country:US
Mailing Address - Phone:203-994-2723
Mailing Address - Fax:203-792-8739
Practice Address - Street 1:1287 STRONGTOWN RD
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-1948
Practice Address - Country:US
Practice Address - Phone:203-758-1441
Practice Address - Fax:203-758-1658
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00700OtherLICENSED PROFESSIONAL COUNSELOR