Organization
SHORELINE WELLNESS BEHAVIORAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARA M POWERS LPC (FOUNDER & CLINICAL DIRECTOR)
(203) 687-5580
Entity
Organization
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 687-5580
(203) 931-0063
Mailing address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 687-5580
(203) 931-0063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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