Organization
CLINTON HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MELILLO (DIRECTOR OF HUMAN SERVICES)
(860) 664-1158
Entity
Organization
Contact information
Practice address
48 E MAIN ST, CLINTON, CT 06413-2035
(860) 664-1158
Mailing address
48 E MAIN ST, CLINTON, CT 06413-2035
(860) 664-1158
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104428044
NPPES
—
05
—
1437762549
—
CT
05
—
1518471325
—
CT
05
—
1679186142
—
CT
Enumeration date
09/01/2020
Last updated
06/12/2025
Update your record
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