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Contact Information

HOLISTIC BEHAVIORAL HEALTH, LLC
1700 DIXWELL AVE UNIT D
HAMDEN, CT06514-3147
 Phone: 203-604-9009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HOLISTIC BEHAVIORAL HEALTH LLC · (Female)

NPI Number 1902308604
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2018
Last updated 10/29/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 003264
  • CT Medicaid 1124445663
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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