# CLIFFORD W. BEERS GUIDANCE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073526968
- **Authorized official:** FRANK LAVELLE (DIRECTOR OF PROJECT MANAGEMENT)
- **Authorized official phone:** (203) 772-1270

## Contact information

- **Practice address:** 93 EDWARDS ST, NEW HAVEN, CT 06511-3933
- **Practice address phone:** (203) 772-1270
- **Practice address fax:** (203) 772-0051
- **Mailing address:** 93 EDWARDS ST, NEW HAVEN, CT 06511-3933
- **Mailing address phone:** (203) 772-1270
- **Mailing address fax:** (203) 772-0051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | CT | — |
| 103TC0700X | Clinical Psychologist | — | CT | — |
| 1041C0700X | Clinical Social Worker | — | CT | — |
| 106H00000X | Marriage & Family Therapist | — | CT | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | CT | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | CT | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | CT | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 03/07/2022