Provider Demographics
NPI:1942975511
Name:EYE OF THE STORM COUNSELING,LLC
Entity Type:Organization
Organization Name:EYE OF THE STORM COUNSELING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:M SPELLACY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:603-264-2066
Mailing Address - Street 1:1030 CILLEY RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2908
Mailing Address - Country:US
Mailing Address - Phone:603-264-2066
Mailing Address - Fax:603-218-6164
Practice Address - Street 1:1030 CILLEY RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2908
Practice Address - Country:US
Practice Address - Phone:603-264-2066
Practice Address - Fax:603-218-6164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-14
Last Update Date:2022-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health