Provider Demographics
NPI:1457642902
Name:SERENITY HEALING THERAPEUTIC TOUCH,LLC
Entity Type:Organization
Organization Name:SERENITY HEALING THERAPEUTIC TOUCH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRESI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-306-7656
Mailing Address - Street 1:136 COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-1151
Mailing Address - Country:US
Mailing Address - Phone:860-436-3676
Mailing Address - Fax:
Practice Address - Street 1:136 COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-1151
Practice Address - Country:US
Practice Address - Phone:860-436-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005665225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty