# AXEN BEHAVIORAL HEALTH PLLC

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

## Provider details

- **NPI number:** 1417879446
- **Authorized official:** ALI KHAN PMHNP-BC (MANAGING MEMBER)
- **Authorized official phone:** (860) 249-3850

## Contact information

- **Practice address:** 281 HARTFORD TPKE STE G3, VERNON, CT 06066-4761
- **Practice address phone:** (860) 341-2837
- **Mailing address:** 281 HARTFORD TPKE STE G3, VERNON, CT 06066-4761

## 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:** 07/29/2026
- **Last updated:** 07/29/2026