Provider Demographics
NPI:1265198576
Name:LANGUAGE OF THE HEART PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:LANGUAGE OF THE HEART PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:EELENA
Authorized Official - Last Name:OLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSW, LCSW
Authorized Official - Phone:203-218-9969
Mailing Address - Street 1:348 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-3703
Mailing Address - Country:US
Mailing Address - Phone:203-218-9969
Mailing Address - Fax:
Practice Address - Street 1:284 RACEBROOK RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3103
Practice Address - Country:US
Practice Address - Phone:203-218-9969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health