Provider Demographics
NPI:1588038178
Name:BEHAVIORAL HEALTH CONNECTICUT, LLC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH CONNECTICUT, LLC
Other - Org Name:SOLUTIONS EAP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-638-5309
Mailing Address - Street 1:213 COURT ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3346
Mailing Address - Country:US
Mailing Address - Phone:860-638-5309
Mailing Address - Fax:
Practice Address - Street 1:213 COURT ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3346
Practice Address - Country:US
Practice Address - Phone:860-638-5309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED BEHAVIORAL HEALTH CONNECTICUT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty