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Organization
AXEN BEHAVIORAL HEALTH PLLC
Active
Organization
AXEN BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI KHAN PMHNP-BC (MANAGING MEMBER)
(860) 249-3850
Entity
Organization
Contact information
Practice address
281 HARTFORD TPKE STE G3, VERNON, CT 06066-4761
(860) 341-2837
Mailing address
281 HARTFORD TPKE STE G3, VERNON, CT 06066-4761
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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