Provider Demographics
NPI:1730963422
Name:KULHAY, REBECCA (LPCA)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:KULHAY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 ADDISON RD STE 303
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-5612
Mailing Address - Country:US
Mailing Address - Phone:860-681-4681
Mailing Address - Fax:
Practice Address - Street 1:223 ADDISON RD STE 303
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-5612
Practice Address - Country:US
Practice Address - Phone:860-681-4681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health