Provider Demographics
NPI:1447269410
Name:BEHAVIORAL HEALTH CONSULTANTS, LLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-288-3554
Mailing Address - Street 1:2319 WHITNEY AVE STE 5D
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3534
Mailing Address - Country:US
Mailing Address - Phone:203-288-3554
Mailing Address - Fax:203-248-3690
Practice Address - Street 1:2319 WHITNEY AVE STE 5D
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3534
Practice Address - Country:US
Practice Address - Phone:203-288-3554
Practice Address - Fax:203-248-3690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C02578OtherGROUP NUMBER
C02578OtherGROUP NUMBER