Healthcare Provider Details

I. General information

NPI: 1083547970
Provider Name (Legal Business Name): COLLECTIVE GROWTH COUNSELING & SUPERVISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MAIN ST STE 8
MONROE CT
06468-2830
US

IV. Provider business mailing address

597 MILLVILLE AVE APT 6-9
NAUGATUCK CT
06770-2334
US

V. Phone/Fax

Practice location:
  • Phone: 203-841-7711
  • Fax:
Mailing address:
  • Phone: 203-841-7711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIA BARROWS NORD
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPC
Phone: 203-841-7711