Individual provider · Type 1 NPI

Elizabeth Domack, LPC

Professional Counselor · Bridgeport, CT

NPI number 1225405152 Active

Practice location

170 Bennett St
Bridgeport, CT 06605-2901

Call (203) 330-6790 Map

Other practice locations

  • 2 Corporate Dr Ste 240, Shelton, CT 06484-6274 · (864) 336-2731

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2811 (CT)

Professional Counselor: Definition to come...

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About NPI 1225405152

Elizabeth Domack, LPC's National Provider Identifier is 1225405152, issued on Aug 26, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeport, CT. The record was last updated on Oct 7, 2026.