Individual provider · Type 1 NPI
Stephen Moore, LPC
Community/Behavioral Health Agency · Middletown, CT
Practice location
100 Roscommon Dr
Middletown, CT 06457-1591
Fax (860) 343-5509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 1070 (CT) |
Community/Behavioral Health Agency: 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 suppo…
3 other providers at this address
About NPI 1306223169
Stephen Moore, LPC's National Provider Identifier is 1306223169, issued on Apr 30, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Middletown, CT. The record was last updated on Apr 30, 2015.