Organization
GUIDING LIGHT COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY G. NICHOLS LPC (OWNER)
(203) 509-5510
Entity
Organization
Contact information
Practice address
530 MIDDLEBURY RD STE 201A, MIDDLEBURY, CT 06762-2546
(203) 509-5510
Mailing address
530 MIDDLEBURY RD # STW201A, MIDDLEBURY, CT 06762-2500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/10/2024
Last updated
08/26/2024
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