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Contact Information

LITCHFIELD HILLS HEALING CENTER, LLC
760 BANTAM ROAD
BANTAM, CT06750
 Phone: 860-361-9333
 Fax: 860-361-9334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LITCHFIELD HILLS HEALING CENTER, LLC

NPI Number 1770994998
LBN Legal business name LITCHFIELD HILLS HEALING CENTER, LLC
Authorized official RACHEL ROSA - (LICENSED PROFESSIONAL COUNSELOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2014
Last updated 05/26/2015 - About 11 years ago
Identifiers
CT License # 001446
CT Medicaid 008038181
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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