Heal Within Family Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEAL WITHIN FAMILY SERVICES LLC

Practice address

127 W Juanita Ave Ste 211
Mesa, AZ 85210-6135

Phone

(631) 279-5865

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Shawnna Seaman

Title

Ceo

Phone

(631) 796-2957

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1396318309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W JUANITA AVE STE 211",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106135",
            "telephone_number": "631-279-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W JUANITA AVE STE 211",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106135",
            "telephone_number": "631-279-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL WITHIN FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "SEAMAN",
        "authorized_official_first_name": "SHAWNNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-796-2957"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.