Southbury Adolescent and Young Adult Counseling Center
NPI #1235737735 in Southbury, Connecticut
Provider Information
- NPI Number
- 1235737735
- Entity Type
- Organization
- Organization Name
- Southbury Adolescent and Young Adult Counseling Center
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 15, 2020
- Last Updated
- Aug 3, 2025
Practice Location
- Address
- 519 HERITAGE RD STE 2A5
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-6694
- Phone
- (203) 568-5923
Authorized Official
- Name
- MR. BRENDAN STACK, LPC
- Title
- OWNER, LPC
- Phone
- (518) 610-4528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Speech-Language Pathologist |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Counselor - Mental Health — Mental Health |
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