Provider Demographics
NPI:1497485205
Name:HELD CENTER FOR HEALING LLC
Entity Type:Organization
Organization Name:HELD CENTER FOR HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:A H
Authorized Official - Last Name:HUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-351-3236
Mailing Address - Street 1:1783 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1208
Mailing Address - Country:US
Mailing Address - Phone:860-351-3236
Mailing Address - Fax:
Practice Address - Street 1:1783 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:CT
Practice Address - Zip Code:06085-1208
Practice Address - Country:US
Practice Address - Phone:860-351-3236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1992364145Medicaid