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Contact Information

HEALING WATERS/LIFE CHANGERS LLC
1229 ALBANY AVE STE 4
HARTFORD, CT06112-2156
 Phone: 860-246-2323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Adult Mental Health

261QM0850X
 

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for HEALING WATERS/LIFE CHANGERS LLC

NPI # 1033750526
LBN Legal business name HEALING WATERS/LIFE CHANGERS LLC
Authorized official JACQUELINE PHILLIPS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2019
Last updated 10/05/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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