Mellahealth LLC
Community/Behavioral Health in West Hartford, Connecticut
1477158046- Practice location
- 125 Lasalle RD Ste 300, West Hartford, CT 06107-2311
- Phone
- 860-342-8192
- Fax
- 860-523-4225
- Last updated
- February 18, 2022
Mellahealth LLC is a healthcare organization based in West Hartford, CT. Mellahealth LLC practices in West Hartford, CT. The NPI Number for Mellahealth LLC is 1477158046. The current practice location address for Mellahealth LLC is 125 Lasalle RD Ste 300, West Hartford, CT 06107-2311 and can be reached out via phone at 860-342-8192 and via fax at 860-523-4225.
Provider Profile Details
- NPI Number
- 1477158046
- Provider Name
- Mellahealth LLC
- Provider Entity Type
- Organization
- Address
- 125 Lasalle RD Ste 300, West Hartford, CT 06107-2311
- Phone Number
- 860-342-8192
- Fax Number
- 860-523-4225
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Ivy Sara Patt, PHD · Licensed Clinical Psychologist · 860-810-0587
- Provider Enumeration Date
- December 2, 2020
- Last Update Date
- February 18, 2022
- Certification Date
- February 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 125 Lasalle RD Ste 300
West Hartford, CT 06107-2311 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107-2311
- Phone Number
- 860-342-8192
- Fax Number
- 860-523-4225
Provider Business Mailing Address Details
- Address
- 125 Lasalle RD Ste 300
West Hartford, CT 06107-2311 - City
- West Hartford
- State
- CT
- Zip
- 06107-2311
- Phone Number
- 860-342-8192
- Fax Number
- 860-523-4225
License Information
- Taxonomy (1)
- Counselor, Professional · 101YP2500X
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (4)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (5)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mellahealth LLC?
The NPI number of Mellahealth LLC is 1477158046. It was assigned on December 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Mellahealth LLC?
Mellahealth LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Mellahealth LLC practice?
The practice location is 125 Lasalle RD Ste 300, West Hartford, CT 06107-2311. The office can be reached at 860-342-8192 (phone) or 860-523-4225 (fax).
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 1477158046 directly on the NPPES registry website.