Healthcare Provider Details

I. General information

NPI: 1790694487
Provider Name (Legal Business Name): LITTLE HAVEN BEHAVIORAL HEALTH CT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/23/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2389 MAIN AT ATE 100
GLASTONBURY CT
06033
US

IV. Provider business mailing address

51 FOREST RD STE 316-240
MONROE NY
10950-2948
US

V. Phone/Fax

Practice location:
  • Phone: 800-269-0886
  • Fax: 201-987-5100
Mailing address:
  • Phone: 201-500-5779
  • Fax: 201-987-5100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DAVID SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 347-671-7627