Healing Hope Supervision and Emdr Consultation LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING HOPE SUPERVISION AND EMDR CONSULTATION LLC

Practice address

100 Pleasant St Unit 202
Marblehead, MA 01945-3365

Phone

(315) 247-1589

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Steffani PouliotNPI 1679964183

Title

Licsw, Owner

Phone

(315) 247-1589

Specialties & licenses 1

Addresses

Locations

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

• Steffani Lynne Pouliot, LICSW

  • Clinical Social Worker
  • Hathorne, MA
  • NPI 1679964183

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1386469013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLEASANT ST UNIT 202",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLEASANT ST UNIT 202",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453365",
            "telephone_number": "315-247-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOPE SUPERVISION AND EMDR CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "POULIOT",
        "authorized_official_first_name": "STEFFANI",
        "authorized_official_title_or_position": "LICSW, OWNER",
        "authorized_official_telephone_number": "315-247-1589"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marianne C Heffrin, MS RD LD
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• Nicholas Hynes
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• All providers in Marblehead, MA
• Clinical Social Worker in Massachusetts

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