SHORELINE WELLNESS CENTER LLC. NPI 1609177815

NPI Information

NPI: 1609177815
Provider Name: SHORELINE WELLNESS CENTER, LLC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
415 MAIN ST
WEST HAVEN, CT
ZIP 06516
Phone: (203) 931-1194
Get Directions

SHORELINE WELLNESS CENTER, LLC. is a mental health counselor in West Haven, CT. SHORELINE WELLNESS CENTER, LLC. NPI is 1609177815. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

415 MAIN ST
WEST HAVEN, CT
ZIP 06516-296
Phone: (203) 931-1194
Fax: (203) 931-1184

The provider's authorized official is Cara M Powers .
The authorized official title is Counselor/owner and has the following contact phone number (203) 931-1184.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	363LF0000X	Nurse Practitioner	Family			No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health	003348	CONNECTICUT	No
4	2084P0800X	Psychiatry & Neurology	Psychiatry			No
5	103TC0700X	Psychologist	Clinical			No
6	106H00000X	Marriage & Family Therapist				No
7	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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