Organization
HOPE BEHAVIORAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORRETT YVETTE BLACK APRN (PMHNP)
(860) 221-8068
Entity
Organization
Contact information
Practice address
378 WINDSOR AVE, WINDSOR, CT 06095-4551
(860) 221-8068
(860) 683-8996
Mailing address
601 BRICKLAYER RD, WINDSOR, CT 06095-1771
(860) 221-8068
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
12/31/2024
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