Provider Demographics
NPI:1548983653
Name:NATURALIFE HEALING THERAPIES, LLC
Entity type:Organization
Organization Name:NATURALIFE HEALING THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAPTISTE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMT
Authorized Official - Phone:929-253-9158
Mailing Address - Street 1:21622 121ST AVENUE, 11411
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1932
Mailing Address - Country:US
Mailing Address - Phone:929-253-9158
Mailing Address - Fax:
Practice Address - Street 1:249-12 JERICHO TURNPIKE
Practice Address - Street 2:SUITE 205
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-4033
Practice Address - Country:US
Practice Address - Phone:929-357-7957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty