Organization
CLIFFORD W. BEERS GUIDANCE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK LAVELLE (DIRECTOR OF PROJECT MANAGEMENT)
(203) 772-1270
Entity
Organization
Contact information
Practice address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
(203) 772-0051
Mailing address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
(203) 772-0051
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039178
—
CT
Enumeration date
08/14/2006
Last updated
03/07/2022
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