Provider Demographics
NPI:1184094609
Name:HAPPY HEALING GROWING PROCESS, E.T.C., LLC
Entity type:Organization
Organization Name:HAPPY HEALING GROWING PROCESS, E.T.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:MACHADO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC,BCPC,EMDR,CC
Authorized Official - Phone:407-910-4740
Mailing Address - Street 1:911 N MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4520
Mailing Address - Country:US
Mailing Address - Phone:407-910-4740
Mailing Address - Fax:407-910-4768
Practice Address - Street 1:911 N MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4520
Practice Address - Country:US
Practice Address - Phone:407-910-4740
Practice Address - Fax:407-910-4768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-26
Last Update Date:2015-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIM13571101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty