Rainbow Connection Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RAINBOW CONNECTION THERAPY, LLC

Practice address

1201 N Wilcox Dr Ste C
Kingsport, TN 37660-4986

Phone

(423) 225-3757

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Lydia Haurez, LPC-MHSPNPI 1811645930

Title

Owner/Therapist

Phone

(423) 225-3757

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.

• Lydia Haurez, LPC-MHSP

  • Mental Health Counselor
  • Kingsport, TN
  • NPI 1811645930
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1962284067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WILCOX DR STE C",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604986",
            "telephone_number": "423-225-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WILCOX DR STE C",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604986",
            "telephone_number": "423-225-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CONNECTION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "HAUREZ",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "423-225-3757",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Qualls, FNP
• Kyle Phillip Radack, M.D.
• Radiation Oncology Associates of N.E. TN
• Catherine M Raff, FNP
• Rhonda Ragsdale, FNP
• Shari K Rajoo, MD
• Peggy Lee Rall-Harsha, LPC MHSP
• Shannon N Ramey, CNM
• Kelley Ramsauer, M.D.
• Gaurav Rana, M.D.

• Mental Health Counselor in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.