Provider Demographics
NPI:1275202855
Name:YOUR HEALING EXPERIENCE LLC
Entity Type:Organization
Organization Name:YOUR HEALING EXPERIENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-824-5470
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:ASBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08802-0046
Mailing Address - Country:US
Mailing Address - Phone:908-824-5470
Mailing Address - Fax:
Practice Address - Street 1:56 PAYNE RD STE 21
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-3262
Practice Address - Country:US
Practice Address - Phone:908-824-5470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty