Individual provider · Type 1 NPI
Micaela Mellow, LPCA
Mental Health Counselor · Portland, CT
NPI number
1679422364
Active
Practice location
90 Appletree Ln
Portland, CT 06480-1072
Mailing address
5 Progress Dr
Cromwell, CT 06416-1035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 9329 (CT) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Portland
About NPI 1679422364
Micaela Mellow, LPCA's National Provider Identifier is 1679422364, issued on Jan 26, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, CT. The record was last updated on Jul 9, 2026.