Bardwell Behavioral, LLC
Counselor, Mental Health in Portland, Connecticut
1750275434- Practice location
- 90 Appletree Ln, Portland, CT 06480-1072
- Phone
- 860-398-9118
- Fax
- 860-740-4485
- Last updated
- June 5, 2025
Bardwell Behavioral, LLC is a healthcare organization based in Portland, CT. Bardwell Behavioral, LLC practices in Portland, CT. The NPI Number for Bardwell Behavioral, LLC is 1750275434. The current practice location address for Bardwell Behavioral, LLC is 90 Appletree Ln, Portland, CT 06480-1072 and can be reached out via phone at 860-398-9118 and via fax at 860-740-4485.
Provider Profile Details
- NPI Number
- 1750275434
- Provider Name
- Bardwell Behavioral, LLC
- Provider Entity Type
- Organization
- Address
- 90 Appletree Ln, Portland, CT 06480-1072
- Phone Number
- 860-398-9118
- Fax Number
- 860-740-4485
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- Yes
- Parent Organization
- Bardwell Behavioral, LLC
- Authorized Official
- Rebekah Alizah Doweyko, LPC, LMHC, LCMHC · Owner/Founder · 561-504-4373
- Provider Enumeration Date
- June 5, 2025
- Last Update Date
- June 5, 2025
- Certification Date
- June 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Appletree Ln
Portland, CT 06480-1072 - City
- Portland
- State
- Connecticut
- Zip
- 06480-1072
- Phone Number
- 860-398-9118
- Fax Number
- 860-740-4485
Provider Business Mailing Address Details
- Address
- 5 Progress Dr
Cromwell, CT 06416-1035 - City
- Cromwell
- State
- CT
- Zip
- 06416-1035
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X · 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 Bardwell Behavioral, LLC?
The NPI number of Bardwell Behavioral, LLC is 1750275434. It was assigned on June 5, 2025 and is currently active in the NPPES registry.
What is the specialty of Bardwell Behavioral, LLC?
Bardwell Behavioral, LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Bardwell Behavioral, LLC practice?
The practice location is 90 Appletree Ln, Portland, CT 06480-1072. The office can be reached at 860-398-9118 (phone) or 860-740-4485 (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 1750275434 directly on the NPPES registry website.