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NPI Code Detail

MEDICARE: BEHAVIORAL HEALTH AND WELLNESS SOLUTIONS OF CT, LLC

MEDICARE: BEHAVIORAL HEALTH AND WELLNESS SOLUTIONS OF CT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker007256CT

General Provider Information

NPI Number : 1114479888
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL HEALTH AND WELLNESS SOLUTIONS OF CT, LLC
Provider Business Mailing Address
First Line : 31 TIMBERWOOD TRL
Second Line :
City : HAMDEN
State : CT
Zip : 06514-1159
Country : US
Telephone Number : 203-400-1884
Fax Number :
Provider Business Practice Location Address
First Line : 3013 DIXWELL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3527
Country : US
Telephone Number : 203-400-1884
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. JESSICA KATHLEEN MARSHALL
Credential : LCSW
Telephone Number : 203-400-1884
Provider Enumeration Date : 10/28/2016
Last Update Date : 12/16/2025

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