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Mr. Stephen Moore, LPC
Community/Behavioral Health Agency in Middletown, Connecticut
NPI 1306223169

Stephen Moore is a Community/Behavioral Health Agency based in Middletown, CT. Stephen Moore practices in Middletown, CT and has the professional credentials of LPC. The NPI Number for Stephen Moore is 1306223169 and holds a License No. 1070 (Connecticut).

The current practice location address for Stephen Moore is 100 Roscommon Dr, Middletown, CT and can be reached out via phone at 860-343-5500 and via fax at 860-343-5509.

Location: 100 Roscommon Dr, Middletown, CT, 06457-1591
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306223169
Provider Name
Stephen Moore
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
100 Roscommon Dr, Middletown, CT, 06457-1591
Phone Number
860-343-5500
Fax Number
860-343-5509
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Roscommon Dr
City
Middletown
State
Connecticut
Zip
06457-1591
Phone Number
860-343-5500
Fax Number
860-343-5509
person
Provider Business Mailing Address Details
Address
100 Roscommon Dr
City
Middletown
State
Connecticut
Zip
06457-1591
Phone Number
860-343-5500
Fax Number
860-343-5509
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1070 (Connecticut)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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