Provider Demographics
NPI:1760257141
Name:FAIRFIELD COUNTY BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:FAIRFIELD COUNTY BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PALOMA
Authorized Official - Middle Name:SILVA
Authorized Official - Last Name:COELHO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-788-1431
Mailing Address - Street 1:21 TURKEY TROT RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-4668
Mailing Address - Country:US
Mailing Address - Phone:203-788-1431
Mailing Address - Fax:
Practice Address - Street 1:152 DEER HILL AVE STE 300
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7766
Practice Address - Country:US
Practice Address - Phone:203-794-2718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty