IndividualActive
Brendan Stack, LPC, LADC
NPI 1316403892 · Professional Counselor · Southbury, CT
Provider details
- NPI number
- 1316403892
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, LADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001323 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
519 Heritage Rd Ste 2a5
Southbury, CT 06488-6694
Phone: (518) 610-4528
Approximate (ZIP-level) locationGet directions
Mailing address
127 Watertown Rd
Middlebury, CT 06762-1502
Registry dates
- Enumerated
- 2019-02-20
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.