location
search-icon
institution
Tracy Clough, Lcsw, Llc
Adolescent and Children Mental Health Clinic/Center in Shelton, Connecticut
NPI 1992207690

Tracy Clough, Lcsw, Llc is an Adolescent and Children Mental Health Clinic/Center based in Trumbull, CT and is specialized in Adolescent and Children Mental Health. Tracy Clough, Lcsw, Llc practices in Shelton, CT. The NPI Number for Tracy Clough, Lcsw, Llc is 1992207690 and holds a License No. 010006 (Connecticut).

The current practice location address for Tracy Clough, Lcsw, Llc is 515 Bridgeport Ave, Shelton, CT and can be reached out via phone at 203-814-8113.

Location: 515 Bridgeport Ave, Shelton, CT, 06611-2254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992207690
Provider Name
Tracy Clough, Lcsw, Llc
Credential
Provider Entity Type
Organization
Address
515 Bridgeport Ave, Shelton, CT, 06611-2254
Phone Number
203-814-8113
Fax Number
Provider Enumeration Date
03/08/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
515 Bridgeport Ave
City
Shelton
State
Connecticut
Zip
06484
Phone Number
203-814-8113
Fax Number
person
Provider Business Mailing Address Details
Address
515 Bridgeport Ave
City
Shelton
State
Connecticut
Zip
06484
Phone Number
203-814-8113
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
010006 (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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
010006 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
010006 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
010006 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.