Provider Demographics
NPI:1417774498
Name:BETHSAIDA FRANCO, LLC
Entity type:Organization
Organization Name:BETHSAIDA FRANCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHSAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-987-2443
Mailing Address - Street 1:327 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-3596
Mailing Address - Country:US
Mailing Address - Phone:860-987-2443
Mailing Address - Fax:
Practice Address - Street 1:1125 NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-2440
Practice Address - Country:US
Practice Address - Phone:860-987-2443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health