| Holistic Health & Healing Center Llc | |
|
64 Thompson St # A103-104 East Haven CT 06513-5707 | |
| (203) 691-1685 | |
| Not Available |
| Full Name | Holistic Health & Healing Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 64 Thompson St # A103-104, East Haven, Connecticut |
| Authorized Official Name and Position | Tara Paine (OWNER) |
| Authorized Official Contact | 2036911685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Health & Healing Center Llc 64 Thompson St # A103-104 East Haven CT 06513-5707 Ph: (203) 691-1685 | Holistic Health & Healing Center Llc 64 Thompson St # A103-104 East Haven CT 06513-5707 Ph: (203) 691-1685 |
| NPI Number | 1659728012 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Medicare PECOS PAC ID | 1557774486 |
|---|---|
| Medicare Enrollment ID | O20210113001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659728012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007720 (Connecticut) | Primary |
| Provider Name | Tara Paine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134408610 PECOS PAC ID: 2961620091 Enrollment ID: I20140902001212 |
| Provider Name | Shaina Boci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376074708 PECOS PAC ID: 9234415779 Enrollment ID: I20170417001279 |
| Provider Name | Jamie Elena Dynderski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700351848 PECOS PAC ID: 2668726837 Enrollment ID: I20181107001975 |
| Provider Name | Nicole Katherine Mcenerney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972264158 PECOS PAC ID: 4486035243 Enrollment ID: I20220726000239 |
Personal Healing Clinical Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 36 Main St Unit 8, East Haven, CT 06512 Phone: 860-989-9504 Fax: 203-672-1813 | |
Rai Of Sonshine Wellness Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 235 Tyler St, East Haven, CT 06512 Phone: 203-393-6288 | |
Melissa Ripani, Mft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Hilton Ave, East Haven, CT 06512 Phone: 203-623-3650 | |
Tms Neurohealth Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 64 Thompson St Ste A105, East Haven, CT 06513 Phone: 855-711-4867 | |
Changing Stories Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30 Main St Fl 1, East Haven, CT 06512 Phone: 475-300-8130 Fax: 203-891-5976 | |
Daly Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Thompson St Ste A106, East Haven, CT 06513 Phone: 203-522-3755 | |
Applied Therapeutic Support, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 310 Main St, Lower Level, East Haven, CT 06512 Phone: 203-444-7778 Fax: 203-404-7126 |