Organization
BARDWELL BEHAVIORAL, LLC
Active
Parent organization
BARDWELL BEHAVIORAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BARDWELL BEHAVIORAL, LLC
Authorized official
REBEKAH ALIZAH DOWEYKO LPC, LMHC, LCMHC (OWNER/FOUNDER)
(561) 504-4373
Entity
Organization
Contact information
Practice address
90 APPLETREE LN, PORTLAND, CT 06480-1072
(860) 398-9118
(860) 740-4485
Mailing address
5 PROGRESS DR, CROMWELL, CT 06416-1035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008111142
—
CT
05
—
6713839
—
VT
Enumeration date
06/05/2025
Last updated
06/05/2025
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