True North Healing Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRUE NORTH HEALING CENTER, LLC

Practice address

40 S River Rd Unit 53
Bedford, NH 03110-6751

Phone

(603) 696-4872

NPI assigned

Feb 21, 2022

Last updated

Aug 24, 2023By 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

Rebecca Glaze, LICSWNPI 1457006645

Title

Founder

Phone

(603) 696-4872

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Rebecca Glaze, LICSW

  • Mental Health Counselor
  • Bedford, NH
  • NPI 1457006645
  NPD Authorized official
• Breanne Vandeweghe

  • Clinical Social Worker
  • Bedford, NH
  • NPI 1386317568
  NPD (past)

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1770238594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD UNIT 53",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD UNIT 53",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106751",
            "telephone_number": "603-696-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "GLAZE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "603-696-4872",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bedford, NH
• Providers in Bedford, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.