Provider Demographics
NPI:1639915325
Name:HOLISTIC HEALING THERAPY & COACHING LLC
Entity type:Organization
Organization Name:HOLISTIC HEALING THERAPY & COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYRSTI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT-A
Authorized Official - Phone:203-376-3023
Mailing Address - Street 1:10 MAIN ST UNIT 301
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06037-2661
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 MAIN ST UNIT 301
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-2661
Practice Address - Country:US
Practice Address - Phone:860-613-5867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty