LITCHFIELD HILLS HEALING CENTER LLC NPI 1770994998

NPI Information

NPI: 1770994998
Provider Name: LITCHFIELD HILLS HEALING CENTER, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
760 BANTAM ROAD
BANTAM, CT
ZIP 06750
Phone: (860) 361-9333
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LITCHFIELD HILLS HEALING CENTER, LLC is a professional counselor in Bantam, CT. LITCHFIELD HILLS HEALING CENTER, LLC NPI is 1770994998. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

760 BANTAM ROAD
BANTAM, CT
ZIP 06750
Phone: (860) 361-9333
Fax: (860) 361-9334

The provider's authorized official is Rachel Downey Rosa .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (860) 361-9333.

The enumeration date for this NPI number is 5/9/2014 and was last updated on 5/26/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	1041C0700X	Social Worker	Clinical			No
3	101YM0800X	Counselor	Mental Health	001446	CONNECTICUT	No
4	101YP2500X	Counselor	Professional	001446	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008038181	MEDICAID	CONNECTICUT

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

NPI Synchronization or Removal

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