| The Healing Spot Llc | |
|
57 North St Ste 406 Danbury CT 06810-5629 | |
| (203) 936-6377 | |
| Not Available |
| Full Name | The Healing Spot Llc |
|---|---|
| Speciality | Social Worker |
| Location | 57 North St Ste 406, Danbury, Connecticut |
| Authorized Official Name and Position | Alexsandra Penalbert (OWNER) |
| Authorized Official Contact | 2039366377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Spot Llc 57 North St Ste 406 Danbury CT 06810-5629 Ph: (203) 936-6377 | The Healing Spot Llc 57 North St Ste 406 Danbury CT 06810-5629 Ph: (203) 936-6377 |
| NPI Number | 1447834148 |
|---|---|
| Provider Enumeration Date | 05/09/2021 |
| Last Update Date | 12/15/2025 |
| Certification Date | 12/15/2025 |
| Medicare PECOS PAC ID | 6507231529 |
|---|---|
| Medicare Enrollment ID | O20230405001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447834148 | NPI | - | NPPES |
| 008063887 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alexsandra Penalbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730544560 PECOS PAC ID: 6103103395 Enrollment ID: I20230405001152 |
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