Magnolia Behavioral Health, LLC
Nurse Practitioner, Psych/Mental Health in Madison, Connecticut
1750973152- Practice location
- 762 Boston Post RD Fl 2, Madison, CT 06443-3047
- Phone
- 203-903-9728
- Fax
- 844-440-2333
- Last updated
- February 11, 2025
Magnolia Behavioral Health, LLC is a healthcare organization based in Madison, CT. Magnolia Behavioral Health, LLC practices in Madison, CT. The NPI Number for Magnolia Behavioral Health, LLC is 1750973152. The current practice location address for Magnolia Behavioral Health, LLC is 762 Boston Post RD Fl 2, Madison, CT 06443-3047 and can be reached out via phone at 203-903-9728 and via fax at 844-440-2333.
Provider Profile Details
- NPI Number
- 1750973152
- Provider Name
- Magnolia Behavioral Health, LLC
- Provider Entity Type
- Organization
- Address
- 762 Boston Post RD Fl 2, Madison, CT 06443-3047
- Phone Number
- 203-903-9728
- Fax Number
- 844-440-2333
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Jessika Ducharme Brasseaux, APRN, PMHNP · Owner · 203-903-9797
- Provider Enumeration Date
- February 7, 2021
- Last Update Date
- February 11, 2025
- Certification Date
- February 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 762 Boston Post RD Fl 2
Madison, CT 06443-3047 - City
- Madison
- State
- Connecticut
- Zip
- 06443-3047
- Phone Number
- 203-903-9728
- Fax Number
- 844-440-2333
Provider Business Mailing Address Details
- Address
- 50 Brewery St Unit 9138
New Haven, CT 06511-5954 - City
- New Haven
- State
- CT
- Zip
- 06511-5954
- Phone Number
- 203-903-9797
- Fax Number
- 844-440-2333
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Magnolia Behavioral Health, LLC?
The NPI number of Magnolia Behavioral Health, LLC is 1750973152. It was assigned on February 7, 2021 and is currently active in the NPPES registry.
What is the specialty of Magnolia Behavioral Health, LLC?
Magnolia Behavioral Health, LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Magnolia Behavioral Health, LLC practice?
The practice location is 762 Boston Post RD Fl 2, Madison, CT 06443-3047. The office can be reached at 203-903-9728 (phone) or 844-440-2333 (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 1750973152 directly on the NPPES registry website.