Provider Demographics
NPI:1346947520
Name:HEALING AND WELLNESS LLC
Entity Type:Organization
Organization Name:HEALING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ENID
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-434-0317
Mailing Address - Street 1:275 SOUTH AVE UNIT 121
Mailing Address - Street 2:
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-6607
Mailing Address - Country:US
Mailing Address - Phone:914-434-0317
Mailing Address - Fax:
Practice Address - Street 1:926 STERLING ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-2236
Practice Address - Country:US
Practice Address - Phone:914-434-0317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty