Organization · Type 2 NPI
Tracy Clough, Lcsw, LLC
Adult Mental Health Clinic/Center · Shelton, CT
NPI number
1992207690
Active
Practice location
515 Bridgeport Ave, Journey To Wellness Suite
Shelton, CT 06484
Mailing address
298 Park Ln
Trumbull, CT 06611-2254
Other practice locations
- 25 Water St, Guilford, CT 06437-2861 · (203) 814-8113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 010006 (CT) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 010006 (CT) |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 010006 (CT) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 010006 (CT) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Another provider at this address
Other adult mental health clinic/center providers in Shelton
About NPI 1992207690
Tracy Clough, Lcsw, LLC's National Provider Identifier is 1992207690, issued on Mar 8, 2018. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Shelton, CT. The record was last updated on Mar 17, 2018.