Provider Demographics
NPI:1265838288
Name:A HEALING TOUCH WITH A WARM SPIRIT
Entity Type:Organization
Organization Name:A HEALING TOUCH WITH A WARM SPIRIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER LICENSE MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-688-3303
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-0337
Mailing Address - Country:US
Mailing Address - Phone:732-688-3303
Mailing Address - Fax:
Practice Address - Street 1:6 COZY COR
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1123
Practice Address - Country:US
Practice Address - Phone:732-688-3303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00167200225700000X
251G00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty