Stacey M Gordon, LMFT
Marriage & Family Therapist in Southport, Connecticut
1871215244- Practice location
- 2960 Post RD Ste 3B2, Southport, CT 06890-1268
- Phone
- 203-307-3030
- Fax
- —
- Last updated
- September 13, 2022
Stacey Michelle Gordon is a Marriage & Family Therapist based in Southport, CT. Stacey Michelle Gordon practices in Southport, CT and has the professional credentials of LMFT. The NPI Number for Stacey Michelle Gordon is 1871215244 and holds a License No. 2949 (CT). The current practice location address for Stacey Michelle Gordon is 2960 Post RD Ste 3B2, Southport, CT 06890-1268 and can be reached out via phone at 203-307-3030.
Provider Profile Details
- NPI Number
- 1871215244
- Provider Name
- Stacey Michelle Gordon
- Credential
- LMFT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2960 Post RD Ste 3B2, Southport, CT 06890-1268
- Phone Number
- 203-307-3030
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2022
- Last Update Date
- September 13, 2022
- Certification Date
- September 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2960 Post RD Ste 3B2
Southport, CT 06890-1268 - City
- Southport
- State
- Connecticut
- Zip
- 06890-1268
- Phone Number
- 203-307-3030
Provider Business Mailing Address Details
- Address
- 15 Clearview Dr
Sandy Hook, CT 06482-1333 - City
- Sandy Hook
- State
- CT
- Zip
- 06482-1333
- Phone Number
- 203-994-7858
License Information
- License Number
- 2949
- License State
- CT
- Taxonomy
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Gina M Mazzola, LMFTMarriage & Family Therapist · NPI 1841067451
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Frequently Asked Questions
What is the NPI number of Stacey M Gordon, LMFT?
The NPI number of Stacey M Gordon, LMFT is 1871215244. It was assigned on September 13, 2022 and is currently active in the NPPES registry.
What is the specialty of Stacey M Gordon, LMFT?
Stacey M Gordon, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 2949.
Where does Stacey M Gordon, LMFT practice?
The practice location is 2960 Post RD Ste 3B2, Southport, CT 06890-1268. The office can be reached at 203-307-3030 (phone).
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 1871215244 directly on the NPPES registry website.