Lacc LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

LACC LLC

Practice address

1140 Johnson Rd
Woodbridge, CT 06525-2619

Phone

(203) 910-2934

NPI assigned

May 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Drea Louise Gordon, LMFTNPI 1134330046

Title

Owner

Phone

(203) 910-2934

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Drea Gordon, LMFT

  • Marriage & Family Therapist
  • Woodbridge, CT
  • NPI 1134330046
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1487401063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 JOHNSON RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252619",
            "telephone_number": "203-910-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 JOHNSON RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252619",
            "telephone_number": "203-910-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DREA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-910-2934",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mijung Kim, APRN
• Su Jung Kim
• Charles F. Kirby III, LMSW-CC
• Hedy Kober, PHD
• Shamlee A Kulkarni, RD
• Bianca Lastra
• Kim C Leoni, M.S., L.P.C.
• Christopher M. Lesieur
• Sarah Lewis-Stowe, LCSW
• Julian Lieb, MD

• Marriage & Family Therapist in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.