NPI: 1902308604
Provider Name: HOLISTIC BEHAVIORAL HEALTH, LLC
Former Legal Business Name: HOLISTIC BEHAVIORAL HEALTH, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization
Specialization: Professional
Address:
1700 DIXWELL AVE UNIT D
HAMDEN, CT
ZIP 06514
Phone: (203) 604-9009
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HOLISTIC BEHAVIORAL HEALTH, LLC is a professional counselor in Hamden, CT. HOLISTIC BEHAVIORAL HEALTH, LLC NPI is 1902308604. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Holistic Behavioral Health, Llc.
The provider's business location address is:
1700 DIXWELL AVE UNIT D
HAMDEN, CT
ZIP 06514-147
Phone: (203) 604-9009
The provider's authorized official is La'shondra Monique Da Cruz .
The authorized official title is Owner/clinician and has the following contact phone number (203) 243-0060.
The enumeration date for this NPI number is 3/8/2018 and was last updated on 10/29/2022.