Dancing Goddess Rising Ministries, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0829261 Issued in NY

Legal business name

DANCING GODDESS RISING MINISTRIES, LLC

Practice address

21 E 2ND St
Suite 101
Riverhead, NY 11901-4616

Phone

(516) 426-2700

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Jerra Lynn Juliano, LCSWNPI 1497083919

Title

Chief Executive Officer

Phone

(516) 426-2700

Specialties & licenses 1

Addresses

Other names 1

• Awakening Heart Wellness Services Doing business as

Locations

Practitioners 1

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

• Jerra Lynn Juliano, LCSW

  • Clinical Social Worker
  • Riverhead, NY
  • NPI 1497083919
  NPD (past) Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1427424530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E 2ND STREET",
            "address_2": "SUITE 101",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "516-426-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E 2ND ST",
            "address_2": "SUITE 101",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014616",
            "telephone_number": "516-426-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANCING GODDESS RISING MINISTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "JULIANO",
        "authorized_official_first_name": "JERRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "516-426-2700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "0829261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awakening Heart Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Dahl
• Prateek V Dalal, MD
• Alyssa Daleo, PA-C
• Benjamin William Dalton, DO
• Moira Elizabeth Daly
• Anna Daniels
• Malcolm Dankner, CSW
• Amy C Dany, ANP-C
• Arriane Garcia Datuin
• Paul Joseph Davey, MD

• Community/Behavioral Health Agency in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.