| Holistic Behavioral Health, Llc | |
|
1700 Dixwell Ave Unit D Hamden CT 06514-3147 | |
| (203) 604-9009 | |
| Not Available |
| Full Name | Holistic Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1700 Dixwell Ave Unit D, Hamden, Connecticut |
| Authorized Official Name and Position | La'shondra Monique Da Cruz (OWNER/CLINICIAN) |
| Authorized Official Contact | 2032430060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Behavioral Health, Llc 81 Gilbert Ave Hamden CT 06514-3352 Ph: (203) 243-0060 | Holistic Behavioral Health, Llc 1700 Dixwell Ave Unit D Hamden CT 06514-3147 Ph: (203) 604-9009 |
| NPI Number | 1902308604 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 10/29/2022 |
| Certification Date | 10/29/2022 |
| Medicare PECOS PAC ID | 2567872955 |
|---|---|
| Medicare Enrollment ID | O20201116000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902308604 | NPI | - | NPPES |
| 1124445663 | Medicaid | CT |
| Provider Name | La'shondra Monique Da Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124445663 PECOS PAC ID: 3476963869 Enrollment ID: I20201116000186 |
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