Hullistic Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HULLISTIC THERAPY, LLC

Practice address

28 Lee Rd
Lisbon, CT 06351-3015

Phone

(860) 367-5343

Fax

(888) 492-8998

NPI assigned

May 3, 2021

Last updated

May 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Hull, LCSWNPI 1558840603

Title

Provider

Phone

(860) 367-5343

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Susan Hull, LCSW

  • Clinical Social Worker
  • Norwich, CT
  • NPI 1558840603
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1255914818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LEE RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513015",
            "telephone_number": "860-367-5343",
            "fax_number": "888-492-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LEE RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513015",
            "telephone_number": "860-367-5343",
            "fax_number": "888-492-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULLISTIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "860-367-5343",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeigh Hayes, LPC
• Jennifer Holcomb
• Richard Homer, DMD
• Melanie I Hopkins, PA-C
• Corrie Sandra Hoyt, MA OF SCIENCE OF OT
• Eric Hume, PHARMD
• Insight Enterprises
• Jasmin Henville DMD - Libson PC (Aspen Dental)
• Meredyth Joly, ATC
• Mark Kasabuski

• Clinical Social Worker in Lisbon, CT
• Providers in Lisbon, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.