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MELLAHEALTH LLC NPI 1477158046


NPI Profile

NPI: 1477158046
Provider Name: MELLAHEALTH LLC
Classification:Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
125 LASALIE RD
SUITE 300
WEST HARTFORD, CT
ZIP 06107
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Phone: (860) 810-0587

MELLAHEALTH LLC is a community behavioral health in West Hartford, CT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MELLAHEALTH LLC NPI is 1477158046. The provider is registered as an organization entity type.

The provider's business location address is:

125 LASALIE RD
SUITE 300
WEST HARTFORD, CT
ZIP 06107-322
Phone: (860) 810-0587
Fax: (860) 523-4225

The provider's authorized official is Ivy Sara Patt .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (860) 810-0587.

The enumeration date for this NPI number is 12/2/2020 and was last updated on 12/2/2020.


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
1251S00000XCommunity/Behavioral HealthYes

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: 10/10/2021

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