NPI | 1902308604 |
---|---|
Former Legal Business Name | HOLISTIC BEHAVIORAL HEALTH, LLC |
Entity Type | Organization |
Authorized Contact | LA'SHONDRA MONIQUE DA CRUZ Owner/Clinician 203-243-0060 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 003264) |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2018-03-08 |
Last Update Date | 2022-10-29 |