Organization
HOLISTIC BEHAVIORAL HEALTH WELLNESS CENTER INC
Active
Organization
HOLISTIC BEHAVIORAL HEALTH WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'SHONDRA DA CRUZ MS,NCC, LPC (OWNER)
(203) 604-9009
Entity
Organization
Contact information
Practice address
1700 DIXWELL AVE, HAMDEN, CT 06514-3147
(203) 604-9009
Mailing address
81 GILBERT AVE, HAMDEN, CT 06514-3352
(203) 604-9009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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