Holistic Behavioral Health, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HOLISTIC BEHAVIORAL HEALTH, LLC

Practice address

1700 Dixwell Ave Unit D
Hamden, CT 06514-3147

Phone

(203) 604-9009

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. La'Shondra Monique Da Cruz, LPCNPI 1124445663

Title

Owner/Clinician

Phone

(203) 243-0060

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Holistic Behavioral Health, LLC Former legal business name

Locations

Practitioners 2

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

• La'Shondra Monique Da Cruz, MS

  • Mental Health Counselor
  • New Haven, CT
  • NPI 1124445663
  NPD Authorized official
• Cecilia Bates, LPC

  • Professional Counselor
  • Meriden, CT
  • NPI 1265004501

  Professional

  NPD (past)

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667001600000",
    "number": "1902308604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 GILBERT AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143352",
            "telephone_number": "203-243-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 DIXWELL AVE UNIT D",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143147",
            "telephone_number": "203-604-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Gilbert Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065143352",
            "country_code": "US",
            "telephone_number": "203-243-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "DA CRUZ",
        "authorized_official_first_name": "LA'SHONDRA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "203-243-0060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003264",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124445663",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Behavioral Health, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Janelle Hoff
• Lisa Louise Hoffer, MSN, APRN, FNP-BC
• Malajah Hogan
• Michael A Hoge, PHD
• Holistic Behavioral Health Wellness Center Inc
• Laura H Hollander Kaplan, LCSW
• Elizabeth Holmes, APRN
• Arnold David Holzman, PHD
• Home Health Professionals Network
• Home Health Professionals Network Plus

• All providers in Hamden, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.