Organization · Type 2 NPI
Magnolia Behavioral Health, LLC
Psychiatric/Mental Health Nurse Practitioner · Madison, CT
NPI number
1750973152
Active
Practice location
762 Boston Post Rd Fl 2
Madison, CT 06443-3047
Fax (844) 440-2333
Mailing address
50 Brewery St Unit 9138
New Haven, CT 06511-5954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1750973152
Magnolia Behavioral Health, LLC's National Provider Identifier is 1750973152, issued on Feb 7, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Madison, CT. The record was last updated on Feb 11, 2025.