HOLISTIC HEALTH & HEALING CENTER LLC (NPI# 1659728012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659728012 |
| Entity Type | Organization |
| Organization Name | HOLISTIC HEALTH & HEALING CENTER LLC |
| Practice Address |
64 Thompson St # A103-104 East Haven CT 06513-5707 |
| Practice Telephone | 2036911685 |
| Mailing Telephone | 2036911685 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | TARA PAINE (OWNER) |
| Authorized Official Telephone | 2036911685 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
007720 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Farmington Ave, 3rd Floor Ste 2, West Hartford, CT 061190611 | 2036911685 |
| Street Address |
64 THOMPSON ST # A103-104 |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06513-5707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434263 | Changing Stories LLC | Social Worker | 30 Main St Fl 1, East Haven, CT 06512-2506 | 2020-10-13 |
| 1326688367 | Keyonna Naughty | Social Worker | 279 Grannis St, East Haven, CT 06512-1505 | 2020-01-07 |
| 1134684525 | Samantha M Cronin | Social Worker | 64 Thompson St # A-103104, East Haven, CT 06513-5707 | 2019-02-10 |
| 1639699556 | Nancy Ann Reyes | Social Worker | 6 Timberland Drive, East Haven, CT 06513-1941 | 2017-06-21 |
| 1043617806 | Elizabeth M. Shea | Social Worker | 310 Main St Lowr Level, East Haven, CT 06512-2919 | 2014-11-21 |
| 1174883011 | Christina Marie Allen | Social Worker | 14 Weber St, East Haven, CT 06512-1436 | 2012-05-25 |
| 1548540529 | Siaun Neou | Social Worker | 762 Laurel St, East Haven, CT 06512-1421 | 2011-08-23 |
| 1386977890 | Lisa Navarra | Social Worker | 6 Manor Rd, East Haven, CT 06512-1215 | 2009-09-15 |
| 1831343854 | The Children's Community Programs of Connecticut, Inc. | Social Worker | 290 Dodge Ave, East Haven, CT 06512-3359 | 2008-11-05 |
| 1700351848 | Jamie Elena Dynderski | Social Worker | 64 Thompson St Ste A103, East Haven, CT 06513-5701 | 2018-10-04 |
| Find all providers in EAST HAVEN | ||||
| City | EAST HAVEN |
| Zip Code | 06513 |
Please comment or provide details below to improve the information on HOLISTIC HEALTH & HEALING CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.