Active NPIOrganization

Axis Behavioral Health LLC

Social Worker, Clinical in West Hartford, Connecticut

NPI Number1093475287
Practice location
24 Shady Brook Dr, West Hartford, CT 06107-2654
Fax
—
Last updated
December 29, 2021

Axis Behavioral Health LLC is a healthcare organization based in West Hartford, CT. Axis Behavioral Health LLC practices in West Hartford, CT. The NPI Number for Axis Behavioral Health LLC is 1093475287. The current practice location address for Axis Behavioral Health LLC is 24 Shady Brook Dr, West Hartford, CT 06107-2654 and can be reached out via phone at 203-451-0850.

Provider Profile Details

NPI Number
1093475287
Provider Name
Axis Behavioral Health LLC
Provider Entity Type
Organization
Address
24 Shady Brook Dr, West Hartford, CT 06107-2654
Phone Number
203-451-0850
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Mrs. Courtney Benitez, LCSW · Owner / Therapist · 203-451-0850
Provider Enumeration Date
December 29, 2021
Last Update Date
December 29, 2021
Certification Date
December 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Shady Brook Dr
West Hartford, CT 06107-2654
Zip
06107-2654
Phone Number
203-451-0850
West Hartford, CT 06107Get directions →

Provider Business Mailing Address Details

Address
24 Shady Brook Dr
West Hartford, CT 06107-2654
City
West Hartford
State
CT
Zip
06107-2654
Phone Number
203-451-0850

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Axis Behavioral Health LLC?

The NPI number of Axis Behavioral Health LLC is 1093475287. It was assigned on December 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Axis Behavioral Health LLC?

Axis Behavioral Health LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Axis Behavioral Health LLC practice?

The practice location is 24 Shady Brook Dr, West Hartford, CT 06107-2654. The office can be reached at 203-451-0850 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093475287 directly on the NPPES registry website.

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