Provider Demographics
NPI:1306422175
Name:THE HEALING PLACE LLC
Entity type:Organization
Organization Name:THE HEALING PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-239-4654
Mailing Address - Street 1:217 HAZELWOOD PL
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-1713
Mailing Address - Country:US
Mailing Address - Phone:732-239-4654
Mailing Address - Fax:
Practice Address - Street 1:2350 SOUTH AVE STE 24
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-4547
Practice Address - Country:US
Practice Address - Phone:732-943-5429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty