Shoreline Wellness Behavioral Health Clinic, Llc
LBN: Shoreline Wellness Behavioral Health Clinic, Llc
Shoreline Wellness Behavioral Health Clinic, Llc is an health care organization with primary practice located at 415 Main St , West Haven CT 06516-4296. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Shoreline Wellness Behavioral Health Clinic, Llc can be contacted via phone (203) 687-5580, or through Powers, Cara M via phone (203) 687-5580.
Contact Information
Primary practice address
415 Main St
West Haven CT 06516-4296
Phone: (203) 687-5580
Fax: (203) 931-0063
Website:
Authorized official contact:
Name: Powers, Cara M Licensed Professional Counselor (LPC)
Phone: (203) 687-5580
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1316347933 |
|---|---|
| LBN Legal business name | Shoreline Wellness Behavioral Health Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Powers, Cara M Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 2nd, 2014 |
| Last updated | Sep 2nd, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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