Whalio Doctors

NPI 1033750526

Healing Waters/Life Changers LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Hartford, CT

Practice location

Address
1229 Albany Ave STE 4, Hartford, CT 06112-2156
Phone
(860) 246-2323

Authorised official

Name
Jacqueline Phillips
Title
Owner
Phone
(860) 729-7239

Registered specialties (3)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1033750526
Entity type
Organization
NPI issued
5 Oct 2019
Record last updated
5 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.