Organization · Type 2 NPI

Shoreline Wellness Center, Llc.

Mental Health Counselor · West Haven, CT

NPI number 1609177815 Active

Practice location

415 Main St
West Haven, CT 06516-4296

Fax (203) 931-1184

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Psychiatric/Mental Health Registered Nurse 163WP0808X003348 (CT)
Psychiatry Physician 2084P0800XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609177815

Shoreline Wellness Center, Llc.'s National Provider Identifier is 1609177815, issued on Nov 4, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Haven, CT. The record was last updated on Nov 28, 2012.