OrganizationConnecticut Behavioral Health, LlcCounselorBehavioral Health & Social Service ProvidersPractice Address673 S Main St, Cheshire, CT 06410-3149(203) 271-1430PECOS EnrollmentBased on the most recent information from CMS, provider Connecticut Behavioral Health, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1235171828Provider TypeOrganizationFull NameConnecticut Behavioral Health, LlcSubpartNoEnumeration Date6/11/2006Last Updated10/29/2015Contact InformationPractice LocationPractice Address673 S Main St, Cheshire, CT 06410-3149Phone(203) 271-1430Fax(203) 271-1800Mailing LocationMailing Address673 S Main St, Cheshire, CT 06410-3149Phone(203) 271-1430Fax(203) 271-1800Authorized OfficialNamePedro, Jonathan J (Owner)Phone(203) 271-1430Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103TB0200XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer