Provider Demographics
NPI:1134853674
Name:BALDACCI BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:BALDACCI BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:BECHTOLDT
Authorized Official - Last Name:BALDACCI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-824-7661
Mailing Address - Street 1:1741 CONARD RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-1371
Mailing Address - Country:US
Mailing Address - Phone:717-824-7661
Mailing Address - Fax:
Practice Address - Street 1:1741 CONARD RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-1371
Practice Address - Country:US
Practice Address - Phone:717-824-7661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health