Organization
HOLISTIC HEALTH & HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA PAINE LCSW (OWNER)
(203) 691-1685
Entity
Organization
Contact information
Practice address
64 THOMPSON ST # A103-104, EAST HAVEN, CT 06513-5707
(203) 691-1685
Mailing address
64 THOMPSON ST # A103-104, EAST HAVEN, CT 06513-5707
(203) 691-1685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007720
CT
Other
Enumeration date
05/16/2016
Last updated
10/06/2020
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