Holistic Behavioral Health, Llc

LBN: Holistic Behavioral Health, Llc
Holistic Behavioral Health, Llc is an health care organization with primary practice located at 1700 Dixwell Ave Unit D , Hamden CT 06514-3147. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Holistic Behavioral Health, Llc can be contacted via phone (203) 604-9009, or through Da Cruz, La'Shondra Monique via phone (203) 243-0060.

Contact Information

Primary practice address
1700 Dixwell Ave Unit D Hamden CT 06514-3147
Phone: (203) 604-9009
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Da Cruz, La'Shondra Monique Licensed Professional Counselor (LPC)
Phone: (203) 243-0060

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 003264 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1902308604
LBN Legal business name Holistic Behavioral Health, Llc
DBA Doing business as Holistic Behavioral Health, Llc
Authorized official Da Cruz, La'Shondra Monique Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2018
Last updated Oct 29th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902308604 NPPES
Connecticut MEDICAID 1124445663

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