Southbury Adolescent And Young Adult Counseling Center Llc - Mental Health Clinic in Southbury, CT

Southbury Adolescent And Young Adult Counseling Center Llc is a mental health clinic (Counselor - Professional) in Southbury, Connecticut. The current practice location for Southbury Adolescent And Young Adult Counseling Center Llc is 519 Heritage Rd Ste 2a5, Southbury, Connecticut. For appointments, you can reach them via phone at (518) 610-4528. The mailing address for Southbury Adolescent And Young Adult Counseling Center Llc is 127 Watertown Rd, Middlebury, Connecticut and phone number is (518) 610-4528.

Southbury Adolescent And Young Adult Counseling Center Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1235737735. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (518) 610-4528.

Contact Information

Southbury Adolescent And Young Adult Counseling Center Llc
519 Heritage Rd Ste 2a5
Southbury
CT 06488-6694
(518) 610-4528
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameSouthbury Adolescent And Young Adult Counseling Center Llc
SpecialityCounselor - Professional
Location519 Heritage Rd Ste 2a5, Southbury, Connecticut
Authorized Official Name and PositionBrendan Stack (OWNER)
Authorized Official Contact5186104528
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southbury Adolescent And Young Adult Counseling Center Llc
127 Watertown Rd
Middlebury
CT 06762-1502

Ph: (518) 610-4528
Southbury Adolescent And Young Adult Counseling Center Llc
519 Heritage Rd Ste 2a5
Southbury
CT 06488-6694

Ph: (518) 610-4528

NPI Details:

NPI Number1235737735
Provider Enumeration Date10/15/2020
Last Update Date05/17/2024
Certification Date05/17/2024

Medical Identifiers

Medical identifiers for Southbury Adolescent And Young Adult Counseling Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235737735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Primary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.