Organization Active NPI

Healing and Transformative Therapy Services LLC

  • Mental Health Counselor
  • Manchester, CT
National Provider Identifier
1093176356
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002003 Issued in CT
Legal business name
HEALING AND TRANSFORMATIVE THERAPY SERVICES LLC
Practice address
200 W Center St
Suite C1-2
Manchester, CT 06040-4864
Phone
(860) 305-8518
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Mrs. Tracey Anne Robinson
Title
Manager
Phone
(860) 305-8518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 002003 CT Primary

Addresses

Primary practice location

200 W Center St
Suite C1-2
Manchester, CT 06040-4864

Mailing address

20 Shores Dr
Tolland, CT 06084-2555
Phone (860) 305-8518

National Provider Directory

National Provider Directory

Locations

200 W Center St
Ste C12
Manchester, CT 06040
Phone (860) 305-8518

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1093176356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHORES DR",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842555",
            "telephone_number": "860-305-8518",
            "fax_number": "860-454-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CENTER ST",
            "address_2": "SUITE C1-2",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404864",
            "telephone_number": "860-305-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING AND TRANSFORMATIVE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-305-8518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "002003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.