Healthcare Provider Details

I. General information

NPI: 1144141953
Provider Name (Legal Business Name): HOLD UP A LIGHT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 HILLIARD ST STE 1321
MANCHESTER CT
06042-2701
US

IV. Provider business mailing address

356 OLD POST RD
TOLLAND CT
06084-3308
US

V. Phone/Fax

Practice location:
  • Phone: 860-729-7376
  • Fax:
Mailing address:
  • Phone: 860-729-7376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RACHEL E CARLSON
Title or Position: OWNER
Credential: PSYD
Phone: 860-729-7376