Healthcare Provider Details

I. General information

NPI: 1689539702
Provider Name (Legal Business Name): GORDON COUNSELING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 RESEARCH DR STE 402
SHELTON CT
06484-6242
US

IV. Provider business mailing address

4 RESEARCH DR STE 402
SHELTON CT
06484-6242
US

V. Phone/Fax

Practice location:
  • Phone: 203-632-6049
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MONIQUE STEPHANIE GORDON
Title or Position: CEO
Credential: LMFT
Phone: 203-632-6049