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General NPI Number Information
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NPI Number | 1043410954
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH CONNECTICUT, INC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 76 BATTERSON PARK RD STE 303
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City | FARMINGTON
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State | CT
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Zip | 06032-2571
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Country | US
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Telephone | 860-856-7963
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Fax |
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Provider Business Mailing Address
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Address Line | 20-30 BEAVER RD STE 108
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City | WETHERSFIELD
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State | CT
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Zip | 06109-2242
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Country | US
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Telephone | 860-529-1970
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Fax | 860-529-6833
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Authorized Official
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Title or Position | CFO
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Name | JENNIFER PULSE
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Credential |
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Telephone | 860-856-7963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | RLC-0028
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License Number State | CT
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