Provider Demographics
NPI:1154291342
Name:HEALING MUD ACADEMY
Entity type:Organization
Organization Name:HEALING MUD ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PFLAUMER CAPICI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:908-917-7033
Mailing Address - Street 1:39 ARDSLEY CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3673
Mailing Address - Country:US
Mailing Address - Phone:908-917-7033
Mailing Address - Fax:
Practice Address - Street 1:39 ARDSLEY CT
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3673
Practice Address - Country:US
Practice Address - Phone:908-917-7033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty