Provider Demographics
NPI:1790250249
Name:HEAL-HELPING EVERYONE ACCEPT AND ADAPT TO LIFE
Entity Type:Organization
Organization Name:HEAL-HELPING EVERYONE ACCEPT AND ADAPT TO LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHEVELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOSS-SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-621-2603
Mailing Address - Street 1:PO BOX 1145
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-1145
Mailing Address - Country:US
Mailing Address - Phone:804-621-2603
Mailing Address - Fax:
Practice Address - Street 1:59 ELM ST STE 500
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-2047
Practice Address - Country:US
Practice Address - Phone:804-621-2603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health