Active NPIOrganization

Shoreline Wellness Behavioral Health Clinic, LLC

Community/Behavioral Health in West Haven, Connecticut

NPI Number1316347933
Practice location
415 Main St, West Haven, CT 06516-4296
Fax
203-931-0063
Last updated
September 2, 2014

Shoreline Wellness Behavioral Health Clinic, LLC is a healthcare organization based in West Haven, CT. Shoreline Wellness Behavioral Health Clinic, LLC practices in West Haven, CT. The NPI Number for Shoreline Wellness Behavioral Health Clinic, LLC is 1316347933. The current practice location address for Shoreline Wellness Behavioral Health Clinic, LLC is 415 Main St, West Haven, CT 06516-4296 and can be reached out via phone at 203-687-5580 and via fax at 203-931-0063.

Provider Profile Details

NPI Number
1316347933
Provider Name
Shoreline Wellness Behavioral Health Clinic, LLC
Provider Entity Type
Organization
Address
415 Main St, West Haven, CT 06516-4296
Phone Number
203-687-5580
Fax Number
203-931-0063
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mrs. Cara M Powers, LPC · Founder & Clinical Director · 203-687-5580
Provider Enumeration Date
September 2, 2014
Last Update Date
September 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Main St
West Haven, CT 06516-4296
Zip
06516-4296
Phone Number
203-687-5580
Fax Number
203-931-0063
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
415 Main St
West Haven, CT 06516-4296
City
West Haven
State
CT
Zip
06516-4296
Phone Number
203-687-5580
Fax Number
203-931-0063

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
Taxonomy (3)
Marriage & Family Therapist · 106H00000X
Taxonomy (4)
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shoreline Wellness Behavioral Health Clinic, LLC?

The NPI number of Shoreline Wellness Behavioral Health Clinic, LLC is 1316347933. It was assigned on September 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Shoreline Wellness Behavioral Health Clinic, LLC?

Shoreline Wellness Behavioral Health Clinic, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Shoreline Wellness Behavioral Health Clinic, LLC practice?

The practice location is 415 Main St, West Haven, CT 06516-4296. The office can be reached at 203-687-5580 (phone) or 203-931-0063 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316347933 directly on the NPPES registry website.

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