Provider Demographics
NPI:1083972848
Name:HEALING SOLUTIONS LLC
Entity Type:Organization
Organization Name:HEALING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONNOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:D'SOUZA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CAP, CTS
Authorized Official - Phone:305-858-0662
Mailing Address - Street 1:1312 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2958
Mailing Address - Country:US
Mailing Address - Phone:305-858-0662
Mailing Address - Fax:305-858-0861
Practice Address - Street 1:1312 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2958
Practice Address - Country:US
Practice Address - Phone:305-858-0662
Practice Address - Fax:305-858-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 8366261QM0850X
261QM0850X, 261QM0855X
FLSW8366261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health