Healthcare Provider Details

I. General information

NPI: 1861396780
Provider Name (Legal Business Name): YB HOLLISTIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 VALLEY RD
HAMDEN CT
06514-3339
US

IV. Provider business mailing address

87 VALLEY RD
HAMDEN CT
06514-3339
US

V. Phone/Fax

Practice location:
  • Phone: 203-434-3828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: YUVANDA BROWN
Title or Position: OWNER
Credential:
Phone: 203-434-3828