Provider Demographics
NPI:1407542178
Name:SEEDS OF HEALING PSYCHIATRY
Entity Type:Organization
Organization Name:SEEDS OF HEALING PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/APRN
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FLYNN-LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-997-6411
Mailing Address - Street 1:281 HARTFORD TPKE STE 106
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4760
Mailing Address - Country:US
Mailing Address - Phone:860-997-6411
Mailing Address - Fax:
Practice Address - Street 1:281 HARTFORD TPKE STE 106
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-4760
Practice Address - Country:US
Practice Address - Phone:860-997-6411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty