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Organization
HOLISTIC BEHAVIORAL HEALTH, LLC
Active
Organization
HOLISTIC BEHAVIORAL HEALTH, LLC
Active
Other names
Holistic Behavioral Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA'SHONDRA MONIQUE DA CRUZ LPC (OWNER/CLINICIAN)
(203) 243-0060
Entity
Organization
Contact information
Practice address
1700 DIXWELL AVE UNIT D, HAMDEN, CT 06514-3147
(203) 604-9009
Mailing address
81 GILBERT AVE, HAMDEN, CT 06514-3352
(203) 243-0060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
003264
CT
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124445663
—
CT
Enumeration date
03/08/2018
Last updated
10/29/2022
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