Provider Demographics
NPI:1932963915
Name:FAMILY HEALING WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:FAMILY HEALING WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CILEIMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-501-8008
Mailing Address - Street 1:999 BROADWAY STE 305
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-4510
Mailing Address - Country:US
Mailing Address - Phone:781-558-1561
Mailing Address - Fax:
Practice Address - Street 1:999 BROADWAY STE 305
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-4510
Practice Address - Country:US
Practice Address - Phone:781-558-1561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty