1134854482 NPI number — TIME TO HEAL THERAPY & COUNSELING LLC

Table of content: ANGELA THORNHILL LCSW, MSW (NPI 1215695531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134854482 NPI number — TIME TO HEAL THERAPY & COUNSELING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TIME TO HEAL THERAPY & COUNSELING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134854482
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
506 HAY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMMONTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08037-9449
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-240-0436
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
506 HAY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMMONTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08037-9449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-240-0436
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HEATH
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
ANDREW
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
908-240-0436

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)