Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Behavioral Health, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1750973152

Magnolia Behavioral Health, LLC is a Psychiatric/Mental Health Nurse Practitioner in Madison, Connecticut. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

762 Boston Post Rd Fl 2
Madison, CT 06443-3047
Phone: (203) 903-9728
Fax: (844) 440-2333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1750973152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessika Brasseaux — Owner · (203) 903-9797
NPI enumeratedFebruary 7, 2021
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address50 Brewery St Unit 9138, New Haven, CT 06511-5954

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