Organization Active NPI

Reliant Behavioral Health and Community Services LLC

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1306401377
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RELIANT BEHAVIORAL HEALTH AND COMMUNITY SERVICES LLC
Practice address
419 Whalley Ave FL 1
Suite 101
New Haven, CT 06511
Phone
(203) 439-5555
Fax
(203) 738-1117
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Hardy-GardnerNPI 1205192895
Title
Owner
Phone
(203) 439-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

419 Whalley Ave FL 1
Suite 101
New Haven, CT 06511

Mailing address

73 Fernwood Rd
Hamden, CT 06517-2915
Phone (203) 439-5555

Other names 1

  • EFFECTIVE COMMUNITY SERVICES TLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220505000424 CT Part B Supplier - Clinic/Group Practice 5799172045 Receives reassigned benefits from 3 practitioners
Practice locations: New Haven, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1306401377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 FERNWOOD RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172915",
            "telephone_number": "203-439-5555",
            "fax_number": "203-738-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WHALLEY AVE FL 1",
            "address_2": "SUITE 101",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-439-5555",
            "fax_number": "203-738-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT BEHAVIORAL HEALTH AND COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "HARDY-GARDNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-439-5555"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EFFECTIVE COMMUNITY SERVICES TLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.