Provider Demographics
NPI:1598305146
Name:HEALING THROUGH PSYCHOTHERAPY, INC
Entity Type:Organization
Organization Name:HEALING THROUGH PSYCHOTHERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:VAN ECK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:949-887-4166
Mailing Address - Street 1:5015 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2162
Mailing Address - Country:US
Mailing Address - Phone:949-887-4166
Mailing Address - Fax:
Practice Address - Street 1:5015 BIRCH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2162
Practice Address - Country:US
Practice Address - Phone:949-887-4166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-12
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty