Healing Experiences, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH12676 Issued in FL

Legal business name

HEALING EXPERIENCES, LLC

Practice address

3270 Suntree Blvd
2217
Melbourne, FL 32940-7530

Phone

(321) 258-5942

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Ashleigh Grooms, LMHC

Title

Owner

Phone

(321) 258-5942

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1720436504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD",
            "address_2": "2217",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD",
            "address_2": "2217",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407530",
            "telephone_number": "321-258-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING EXPERIENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "GROOMS",
        "authorized_official_first_name": "ASHLEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-258-5942",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH12676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.