CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
NPI 1467097667
Clinic/Center in Mystic, CT

Q: What is Child And Family Agency Of Southeastern Connecticut, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 12, 2019

204 MISTUXET AVE, MYSTIC, CT 06355(860) 536-8613 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Child And Family Agency Of Southeastern Connecticut, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI 1467097667) is a healthcare organization registered as a clinic/center in Mystic, Connecticut and active in the NPI registry since November 2019. The organization lists Lisa Baxter, Cfao, as its authorized official.

NPPES Registry Identity

NPI1467097667

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.

Location Address204 MISTUXET AVEMystic, CT 06355-3009

Mailing Address255 Hempstead StNew London, CT 06320-6204 · (860) 443-2896 · Fax (860) 442-5909

Phone(860) 536-8613

Organization SubpartNo

Authorized OfficialLisa BaxterCfao · (860) 443-2896

Enumeration DateNovember 12, 2019

✔ NPI 1467097667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

204 MISTUXET AVE, Mystic, CT 06355

Open in Google Maps ↗

Other Names 1

Other NameStonington Middle School Based Health Center

Other Identifiers 1

Other1065CT · School Based Health Center

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG A HOLCH MA

Counselor (Professional)

204 MISTUXET AVE
MYSTIC, CT 06355

Southeastern Connecticut Planning Region (860) 536-8613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Child And Family Agency Of Southeastern Connecticut, Inc.'s NPI number?

The NPI number for Child And Family Agency Of Southeastern Connecticut, Inc. is 1467097667. It was assigned to this organization in the NPPES registry on November 12, 2019. The provider is also known as Stonington Middle School Based Health Center.

Where is Child And Family Agency Of Southeastern Connecticut, Inc. located?

Child And Family Agency Of Southeastern Connecticut, Inc. is located at 204 Mistuxet Ave, Mystic, CT 06355. The listed phone number is (860) 536-8613.

What is Child And Family Agency Of Southeastern Connecticut, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Child And Family Agency Of Southeastern Connecticut, Inc. was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.