Healing in the Home Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11318 Issued in FL

Legal business name

HEALING IN THE HOME COUNSELING SERVICES, LLC

Practice address

1825 NW Corporate Blvd Ste 110
Boca Raton, FL 33431-8554

Phone

(561) 717-0470

Fax

(561) 717-0471

NPI assigned

May 21, 2018

Organization subpart

No

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

Authorized official

Name

Tia Marie Gladden, LCSW

Title

Owner

Phone

(561) 729-4635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1760973200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NE 13TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353125",
            "telephone_number": "561-729-4635",
            "fax_number": "561-717-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NW CORPORATE BLVD STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318554",
            "telephone_number": "561-717-0470",
            "fax_number": "561-717-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING IN THE HOME COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-729-4635",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.