TRACY CLOUGH, LCSW, LLC; NPI #1992207690

Contact Information

TRACY CLOUGH, LCSW, LLC

515 BRIDGEPORT AVE
JOURNEY TO WELLNESS SUITE
SHELTON, CT 06484

Phone: 203-814-8113
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adult Mental Health	261QM0850X
Adolescent and Children Mental Health	261QM0855X
Community/Behavioral Health	251S00000X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for TRACY CLOUGH, LCSW, LLC

NPI Number 1992207690

LBN Legal business name TRACY CLOUGH, LCSW, LLC

Authorized official TRACY CLOUGH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/08/2018

Last updated 03/17/2018 - About 8 years ago

Identifiers

License #

010006

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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