My Healing Space LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MY HEALING SPACE LLC

Practice address

118 Lake Ave
Lyndhurst, NJ 07071-1410

Phone

(201) 669-0377

NPI assigned

Sep 15, 2025

Last updated

Sep 15, 2025By 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

Ashley Sloan, LCSWNPI 1548987001

Title

Owner

Phone

(201) 669-0377

Specialties & licenses 1

Addresses

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.

• Ashley Sloan, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
  • NPI 1548987001
  NPD Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1548131386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LAKE AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711410",
            "telephone_number": "201-669-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LAKE AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711410",
            "telephone_number": "201-669-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALING SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-669-0377",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.