Organization Active NPI

Healing Hawk Therapy LLC

  • Counselor
  • East Hampton, CT
National Provider Identifier
1609688464
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
HEALING HAWK THERAPY LLC
Practice address
9R Lake Dr Unit 5
East Hampton, CT 06424-1453
Phone
(617) 233-5636
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Holly Rozanski, LPCNPI 1679237085
Title
Sole Proprieter
Phone
(617) 233-5636

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

9R Lake Dr Unit 5
East Hampton, CT 06424-1453

Mailing address

9R Lake Dr Unit 5
East Hampton, CT 06424-1453
Phone (617) 233-5636

National Provider Directory

National Provider Directory

Locations

111 Main St
Ste A1
Wethersfield, CT 06109

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1609688464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9R LAKE DR UNIT 5",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241453",
            "telephone_number": "617-233-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9R LAKE DR UNIT 5",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241453",
            "telephone_number": "617-233-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HAWK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "ROZANSKI",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "617-233-5636",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.