| Healing The Wounded Soul Llc | |
|
16 Dakin Ave Ste 110 Mount Kisco NY 10549-2826 | |
| (516) 225-8767 | |
| Not Available |
| Full Name | Healing The Wounded Soul Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 16 Dakin Ave Ste 110, Mount Kisco, New York |
| Authorized Official Name and Position | Kristen Ducharme (CREDENTIALING/BILLING MANAGER) |
| Authorized Official Contact | 4015336245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing The Wounded Soul Llc 644 Great Rd North Smithfield RI 02896-6864 Ph: (401) 533-6245 | Healing The Wounded Soul Llc 16 Dakin Ave Ste 110 Mount Kisco NY 10549-2826 Ph: (516) 225-8767 |
| NPI Number | 1306630199 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306630199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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