Provider Demographics
NPI:1972261865
Name:STARSEED HOLISTIC HEALING LLC
Entity Type:Organization
Organization Name:STARSEED HOLISTIC HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANEEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGUS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-592-7934
Mailing Address - Street 1:90 COURT ST STE 203
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3334
Mailing Address - Country:US
Mailing Address - Phone:203-592-7934
Mailing Address - Fax:
Practice Address - Street 1:90 COURT ST STE 203
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3334
Practice Address - Country:US
Practice Address - Phone:203-592-7934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty