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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