Healing Harbor LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEALING HARBOR LLC

Practice address

28922 Lorain Rd Ste 100
North Olmsted, OH 44070-4053

Phone

(440) 558-6002

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Mary Doherty, LPCCNPI 1295116796

Title

Owner

Phone

(440) 558-6002

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Doherty, LPCC

  • Professional Counselor
  • North Olmsted, OH
  • NPI 1295116796
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1952925323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28922 LORAIN RD STE 100",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704053",
            "telephone_number": "440-558-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28922 LORAIN RD STE 100",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704053",
            "telephone_number": "440-558-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-558-6002",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Haun, PT
• Tiffany Ann Hauser
• Kristine Hawke, MA, CCC-SLP
• Davidetta Noody Haynes
• Erika Hays, ED.S.
• Healing Path Wound Care
• Health Care Solutions at Home Inc. (Health Care Solutions)
• Health Express Physical Therapy Centers LLC
• Healthland Home Care LLC
• Healthsource of North Olmsted

• Community/Behavioral Health Agency in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.