Provider Demographics
NPI:1124814835
Name:HEALING RIVER THERAPY, LLC
Entity type:Organization
Organization Name:HEALING RIVER THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-417-5159
Mailing Address - Street 1:14 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-2302
Mailing Address - Country:US
Mailing Address - Phone:860-531-8663
Mailing Address - Fax:
Practice Address - Street 1:14 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-2302
Practice Address - Country:US
Practice Address - Phone:860-531-8663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health