| Magnolia Behavioral Health, Llc | |
|
762 Boston Post Rd Fl 2 Madison CT 06443-3047 | |
| (203) 903-9728 | |
| (585) 229-8307 |
| Full Name | Magnolia Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 762 Boston Post Rd Fl 2, Madison, Connecticut |
| Authorized Official Name and Position | Jessika Brasseaux (MANAGER) |
| Authorized Official Contact | 2039039728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Behavioral Health, Llc 50 Brewery St Unit 9138 New Haven CT 06532-7716 Ph: (203) 903-9797 | Magnolia Behavioral Health, Llc 762 Boston Post Rd Fl 2 Madison CT 06443-3047 Ph: (203) 903-9728 |
| NPI Number | 1750973152 |
|---|---|
| Provider Enumeration Date | 02/07/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750973152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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