# FIVE CORNERS BEHAVIORAL HEALTH, 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
- **Other names:** Five Corners Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356010243
- **Authorized official:** MS. MARTHA J STEWART APRN (NURSE PRACTIOIONTER)
- **Authorized official phone:** (860) 205-7416

## Contact information

- **Practice address:** 115 BIRDSEYE RD, FARMINGTON, CT 06032-2481
- **Practice address phone:** (860) 205-7416
- **Practice address fax:** (860) 678-9306
- **Mailing address:** 115 BIRDSEYE RD, FARMINGTON, CT 06032-2481
- **Mailing address phone:** (860) 205-7416
- **Mailing address fax:** (860) 678-9308

## 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:** 09/13/2021
- **Last updated:** 08/10/2022