# MAGNOLIA BEHAVIORAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1750973152
- **Authorized official:** JESSIKA DUCHARME BRASSEAUX APRN, PMHNP (OWNER)
- **Authorized official phone:** (203) 903-9797

## Contact information

- **Practice address:** 762 BOSTON POST RD FL 2, MADISON, CT 06443-3047
- **Practice address phone:** (203) 903-9728
- **Practice address fax:** (844) 440-2333
- **Mailing address:** 50 BREWERY ST UNIT 9138, NEW HAVEN, CT 06511-5954
- **Mailing address phone:** (203) 903-9797
- **Mailing address fax:** (844) 440-2333

## 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:** 02/07/2021
- **Last updated:** 02/11/2025