Provider Demographics
NPI:1316701725
Name:THE HEALING HEART COLLECTIVE PLC
Entity type:Organization
Organization Name:THE HEALING HEART COLLECTIVE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTAINE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LADC
Authorized Official - Phone:802-318-2993
Mailing Address - Street 1:1 MILL ST STE 324
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1554
Mailing Address - Country:US
Mailing Address - Phone:802-318-2993
Mailing Address - Fax:
Practice Address - Street 1:1 MILL ST STE 324
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1554
Practice Address - Country:US
Practice Address - Phone:802-318-2993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty