Provider Demographics
NPI:1669053054
Name:HEALTHY HEALING PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:HEALTHY HEALING PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-977-7670
Mailing Address - Street 1:91 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-5418
Mailing Address - Country:US
Mailing Address - Phone:732-977-7670
Mailing Address - Fax:
Practice Address - Street 1:91 WHITE ST
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-5418
Practice Address - Country:US
Practice Address - Phone:732-977-7670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty