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CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT INC. NPI 1962926576


NPI Information

NPI: 1962926576
Provider Name: CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
36 WALLER ST
NEW LONDON, CT
ZIP 06320
Phone: (860) 437-6480
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CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. is an adolescent and children mental health clinic center in New London, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. NPI is 1962926576. The provider is registered as an organization entity type.

The provider's business location address is:

36 WALLER ST
NEW LONDON, CT
ZIP 06320-216
Phone: (860) 437-6480
Fax: (860) 701-3772

The provider's authorized official is Lisa Baxter .
The authorized official title is Chief Financial And Admin Officer and has the following contact phone number (860) 443-2896.

The enumeration date for this NPI number is 7/26/2017 and was last updated on 6/20/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental Health0138CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10138OTHERCONNECTICUTDPH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.