# HOLISTIC BEHAVIORAL HEALTH OF CONNECTICUT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043970387
- **Authorized official:** OKECHUKWU C CHIDIADI APRN (OWNER)
- **Authorized official phone:** (608) 695-0308

## Contact information

- **Practice address:** 116 COTTAGE GROVE RD STE 110, BLOOMFIELD, CT 06002-3200
- **Practice address phone:** (860) 904-5433
- **Practice address fax:** (860) 904-5456
- **Mailing address:** 116 COTTAGE GROVE RD STE 110, BLOOMFIELD, CT 06002-3200
- **Mailing address phone:** (860) 869-5030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2021
- **Last updated:** 12/28/2021