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MAGNOLIA BEHAVIORAL HEALTH LLC NPI 1750973152


NPI Information

NPI: 1750973152
Provider Name: MAGNOLIA BEHAVIORAL HEALTH, LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 07D2217289

Address:
762 BOSTON POST RD FL 2
MADISON, CT
ZIP 06443
Phone: (203) 903-9728
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MAGNOLIA BEHAVIORAL HEALTH, LLC is a psychiatry psychiatry neurology in Madison, CT. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MAGNOLIA BEHAVIORAL HEALTH, LLC NPI is 1750973152. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

762 BOSTON POST RD FL 2
MADISON, CT
ZIP 06443-047
Phone: (203) 903-9728
Fax: (585) 229-8307

The provider's authorized official is Jessika Brasseaux .
The authorized official title is Manager and has the following contact phone number (203) 903-9728.

The CLIA number assigned to this NPI record is 07D2217289 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2021 and was last updated on 4/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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