Provider Demographics
NPI:1962111435
Name:LITTLE AS HEALING LLC
Entity type:Organization
Organization Name:LITTLE AS HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZHARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-215-3192
Mailing Address - Street 1:3837 VARDON CT
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1465
Mailing Address - Country:US
Mailing Address - Phone:262-215-3192
Mailing Address - Fax:
Practice Address - Street 1:3837 VARDON CT
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-1465
Practice Address - Country:US
Practice Address - Phone:262-215-3192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty