Provider Demographics
NPI:1275278319
Name:EMOTIONAL HEALING LLC
Entity Type:Organization
Organization Name:EMOTIONAL HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEPASQUALE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:848-480-1731
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08722-0043
Mailing Address - Country:US
Mailing Address - Phone:848-480-1731
Mailing Address - Fax:888-538-6164
Practice Address - Street 1:436 CABLE AVE
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08722-3733
Practice Address - Country:US
Practice Address - Phone:484-808-1731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)