Healing Alliance LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALING ALLIANCE LLC

Practice address

402 N Babcock St
Melbourne, FL 32935-7346

Phone

(321) 343-6821

NPI assigned

Jan 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ingrid Pinto de Otazu

Title

Owner/LMHC

Phone

(321) 343-6821

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlyn Monique Michael

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1720710775
  NPD
• Jenna Tong, ARNP

  • Nurse Practitioner
  • Findlay, OH
  • NPI 1407331069
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1053063735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ASHBURY AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406426",
            "telephone_number": "321-343-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357346",
            "telephone_number": "321-343-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "PINTO DE OTAZU",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER/LMHC",
        "authorized_official_telephone_number": "321-343-6821"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megann Hayes
• Rebecca Mary Elizabeth Hayes, ARNP-C
• Tabitha Lynn Haynes, FNP
• Izabelle Olive Hays
• Miranda Marie Hayworth
• Healing Experiences, LLC
• Healing Fields Center Inc
• Healing Hands Chiropractic Wellness Center LLC (AWO Chiropractic & Injury Center)
• Healing Tree Internal Medicine LLC
• Health First Medical Group, LLC

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.