NPI 1003458316
Phoenix Healing, LLC
Practice location
- Address
- 45 S Main St STE 107, West Hartford, CT 06107-2402
- Phone
- (860) 352-0813
Authorised official
- Name
- Kristina Baker
- Title
- Psychotherapist
- Phone
- (860) 463-9684
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003458316
- Entity type
- Organization
- NPI issued
- 9 Oct 2019
- Record last updated
- 9 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.