National Provider Identifier Database

LITCHFIELD HILLS HEALING CENTER LLC
Professional


Contact Information

LITCHFIELD HILLS HEALING CENTER, LLC
760 BANTAM ROAD
BANTAM, CT06750
Phone: 860-361-9333
Fax: 860-361-9334
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Clinical 1041C0700X
Mental Health 101YM0800X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for LITCHFIELD HILLS HEALING CENTER, LLC

NPI Number 1770994998
Legal business name
LBN
LITCHFIELD HILLS HEALING CENTER, LLC
Authorized official RACHEL ROSA - (LICENSED PROFESSIONAL COUNSELOR)
Entity Organization
Organization subpart No
Enumeration date 05/09/2014
Last updated 05/26/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 001446
  • CT Medicaid: 008038181

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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