Provider Demographics
NPI:1841026051
Name:LIFES HEALING ENERGY, LLC
Entity type:Organization
Organization Name:LIFES HEALING ENERGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-402-1607
Mailing Address - Street 1:190 TOMLINSON AVE APT 2F
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2973
Mailing Address - Country:US
Mailing Address - Phone:860-402-1607
Mailing Address - Fax:
Practice Address - Street 1:35 N MAIN ST STE 2B
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-2577
Practice Address - Country:US
Practice Address - Phone:860-402-1607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant