Provider Demographics
NPI:1295476497
Name:CENTER FOR THERAPY AND HEALING
Entity type:Organization
Organization Name:CENTER FOR THERAPY AND HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-910-0637
Mailing Address - Street 1:80 AUDUBON RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-2727
Mailing Address - Country:US
Mailing Address - Phone:617-910-0637
Mailing Address - Fax:
Practice Address - Street 1:80 AUDUBON RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-2727
Practice Address - Country:US
Practice Address - Phone:617-910-0637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty