Provider Demographics
NPI:1780083451
Name:HEALING WITH HEART AND HORSES THERAPY PRACTICE LLC
Entity type:Organization
Organization Name:HEALING WITH HEART AND HORSES THERAPY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, LPC, RN
Authorized Official - Phone:609-937-5881
Mailing Address - Street 1:9 SHEFFIELD RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1707
Mailing Address - Country:US
Mailing Address - Phone:609-937-5881
Mailing Address - Fax:609-406-9319
Practice Address - Street 1:133 FRANKLIN CORNER RD
Practice Address - Street 2:2ND FLOOR SUITE 2-PSYCHOTHERAPY AT THE ATRIUM
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2531
Practice Address - Country:US
Practice Address - Phone:609-937-5881
Practice Address - Fax:609-406-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00374900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty