Provider Demographics
NPI:1427807882
Name:GUIDED HEALING, LLC
Entity type:Organization
Organization Name:GUIDED HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-236-7226
Mailing Address - Street 1:GUIDED HEALING C/O THE SEG HUB
Mailing Address - Street 2:10 DAVOL SQUARE, SUITE 100
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903
Mailing Address - Country:US
Mailing Address - Phone:401-236-7226
Mailing Address - Fax:401-223-4511
Practice Address - Street 1:73 LYNDALE AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-2322
Practice Address - Country:US
Practice Address - Phone:401-236-7226
Practice Address - Fax:401-223-4511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty