Provider Demographics
NPI:1477203222
Name:HEALINGNH
Entity Type:Organization
Organization Name:HEALINGNH
Other - Org Name:HEALINGNH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRISCOLL
Authorized Official - Suffix:
Authorized Official - Credentials:MLADC
Authorized Official - Phone:603-556-8332
Mailing Address - Street 1:35 CENTER ST OFC 1415
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03896-3001
Mailing Address - Country:US
Mailing Address - Phone:603-556-8332
Mailing Address - Fax:
Practice Address - Street 1:35 CENTER ST OFC 1415
Practice Address - Street 2:
Practice Address - City:WOLFEBORO FALLS
Practice Address - State:NH
Practice Address - Zip Code:03896-3001
Practice Address - Country:US
Practice Address - Phone:603-556-8332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty