NPIMap

Organization Active NPI

Heal, LLC

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1508509720
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEAL, LLC
Practice address
2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660
Phone
(863) 606-8097
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Mr. Alexander Bailey Lane, LCSWNPI 1104058569
Title
Ceo
Phone
(863) 606-8097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660

Mailing address

2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660
Phone (863) 606-8097

Other names 1

  • Heal Therapeutics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alex@lifeisfelt.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1508509720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 E EDGEWOOD DR STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033660",
            "telephone_number": "863-606-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 E EDGEWOOD DR STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033660",
            "telephone_number": "863-606-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-606-8097",
        "authorized_official_name_prefix": "Mr.",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alex@lifeisfelt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2033 E Edgewood Dr Ste 4",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338033660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heal Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.