Provider Demographics
NPI:1669044947
Name:GUIDED HEALING
Entity Type:Organization
Organization Name:GUIDED HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIZAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:860-639-4931
Mailing Address - Street 1:24 TAUNTON ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-1426
Mailing Address - Country:US
Mailing Address - Phone:860-639-4931
Mailing Address - Fax:
Practice Address - Street 1:24 TAUNTON ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-1426
Practice Address - Country:US
Practice Address - Phone:860-639-4931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty