Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael John Formica, LPC

Individual provider Mental Health Counselor · NPI 1174688311

Michael John Formica, LPC is a Mental Health Counselor in Groton, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

616 Gold Star Hwy
Groton, CT 06340-6221
Phone: (860) 449-0200
Fax: (860) 449-1954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 000869 (CT)

Record details

NPI number1174688311
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 8, 2007

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