Provider Profile

Mya Petchark, LADC

Unclaimed Profile

About Mya Petchark

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Specialty

Addiction & Substance Abuse Counselor (Primary)

Credentials & Licensing

CT license1565
NPI1144069840
NPI issued05/22/2024

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Mya Petchark specialize in?

Mya Petchark is an addiction & substance abuse counselor in New London, CT. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Mya Petchark located?

Mya Petchark is listed at 931 Bank St, New London, CT 06320. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Mya Petchark's phone number?

The number on file is (860) 574-8252. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Mya Petchark's NPI number?

Mya Petchark's National Provider Identifier is 1144069840. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Mya Petchark been practicing?

Mya Petchark has 2+ years experience. Registered with an NPI since 2024. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Mya Petchark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Mya Petchark. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.