Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRENDAN STACK, LPC, LADC
Active Sole ProprietorMR. BRENDAN STACK, LPC, LADC is a Professional Counselor healthcare provider located in SOUTHBURY, Connecticut. NPI 1316403892 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · SOUTHBURY, CT
Registration Details
- NPI Number
- 1316403892
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2019 (7.4707788964331 yrs)
- Last Updated
- Jul 18, 2025
- Licenses
-
001323 (CT)4530 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
519 HERITAGE RD STE 2A5SOUTHBURY, CT, 064886694Browse CT providers · Browse ZIP 06488
- Phone
- 5186104528
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in SOUTHBURY, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. DONNA LYNN COSTA | LPC | 1851373336 |
| HOLLY POGLITSCH | M.S. | 1720119506 |
| MR. KEVIN KEANE | LPC, NCC | 1013049139 |
| KAREN BOBOWICK | M.ED., LPC | 1386854826 |
| KATIE JEFFERSON | MA, LPC | 1427246800 |
| MS. MELYNDA RAMONA CABRERA | MS, NCC, LPC | 1811329246 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.