Organization
TRACY CLOUGH, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CLOUGH LCSW (OWNER)
(973) 809-4722
Entity
Organization
Contact information
Practice address
515 BRIDGEPORT AVE, JOURNEY TO WELLNESS SUITE, SHELTON, CT 06484
(203) 814-8113
Mailing address
298 PARK LN, TRUMBULL, CT 06611-2254
(973) 809-4722
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
010006
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
010006
CT
261QM0850X
Adult Mental Health Clinic/Center
Primary
010006
CT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
010006
CT
Other
Enumeration date
03/08/2018
Last updated
03/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up