Active NPIOrganization

Child And Family Agency Of Southeastern Connecticut INC.

Clinic/Center in Mystic, Connecticut

NPI Number1477252054
Practice location
115 Oslo St, Mystic, CT 06355-1337
Fax
860-661-4262
Last updated
October 7, 2026

Child And Family Agency Of Southeastern Connecticut INC. is a healthcare organization based in Mystic, CT. Child And Family Agency Of Southeastern Connecticut INC. practices in Mystic, CT. The NPI Number for Child And Family Agency Of Southeastern Connecticut INC. is 1477252054. The current practice location address for Child And Family Agency Of Southeastern Connecticut INC. is 115 Oslo St, Mystic, CT 06355-1337 and can be reached out via phone at 860-437-4550 and via fax at 860-661-4262.

Provider Profile Details

NPI Number
1477252054
Provider Name
Child And Family Agency Of Southeastern Connecticut INC.
Provider Entity Type
Organization
Address
115 Oslo St, Mystic, CT 06355-1337
Phone Number
860-437-4550
Fax Number
860-661-4262
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Lisa Baxter · Cfao · 860-443-2896
Provider Enumeration Date
March 2, 2023
Last Update Date
October 7, 2026
Certification Date
October 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Oslo St
Mystic, CT 06355-1337
City
Mystic
Zip
06355-1337
Phone Number
860-437-4550
Fax Number
860-661-4262
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
Po Box 120
New London, CT 06320-0120
City
New London
State
CT
Zip
06320-0120
Phone Number
860-437-4550
Fax Number
860-661-4262

License Information

Taxonomy (1)
Clinic/Center · 261Q00000X · Primary
Taxonomy (2)
Clinical Medical Laboratory · 291U00000X

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 Child And Family Agency Of Southeastern Connecticut INC.?

The NPI number of Child And Family Agency Of Southeastern Connecticut INC. is 1477252054. It was assigned on March 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Child And Family Agency Of Southeastern Connecticut INC.?

Child And Family Agency Of Southeastern Connecticut INC. is registered under the primary taxonomy Clinic/Center (code 261Q00000X).

Where does Child And Family Agency Of Southeastern Connecticut INC. practice?

The practice location is 115 Oslo St, Mystic, CT 06355-1337. The office can be reached at 860-437-4550 (phone) or 860-661-4262 (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 1477252054 directly on the NPPES registry website.

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