Provider Demographics
NPI:1962033365
Name:HEALING COMPLETE, LLC
Entity Type:Organization
Organization Name:HEALING COMPLETE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPE-LAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-687-7593
Mailing Address - Street 1:4 HENDRICKSON AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-6155
Mailing Address - Country:US
Mailing Address - Phone:774-334-1311
Mailing Address - Fax:
Practice Address - Street 1:4 HENDRICKSON AVE STE 2
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-6155
Practice Address - Country:US
Practice Address - Phone:774-334-1311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty