Healthcare Provider Details

I. General information

NPI: 1447269410
Provider Name (Legal Business Name): BEHAVIORAL HEALTH CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 WHITNEY AVE STE 5D
HAMDEN CT
06518-3534
US

IV. Provider business mailing address

2319 WHITNEY AVE STE 5D
HAMDEN CT
06518-3534
US

V. Phone/Fax

Practice location:
  • Phone: 203-288-3554
  • Fax: 203-248-3690
Mailing address:
  • Phone: 203-288-3554
  • Fax: 203-248-3690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK KIRSCHNER
Title or Position: MANAGING PARTNER
Credential: PH.D.
Phone: 203-288-3554