Holly Heaven
Counselor, Professional in Stratford, Connecticut
1457986580- Practice location
- 2225 Main St, Stratford, CT 06615-5920
- Phone
- 203-414-4985
- Fax
- —
- Last updated
- March 9, 2020
Holly Heaven is a Counselor, Professional based in Stratford, CT. Holly Heaven practices in Stratford, CT. The NPI Number for Holly Heaven is 1457986580 and holds a License No. 000752 (CT). The current practice location address for Holly Heaven is 2225 Main St, Stratford, CT 06615-5920 and can be reached out via phone at 203-414-4985.
Provider Profile Details
- NPI Number
- 1457986580
- Provider Name
- Holly Heaven
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2225 Main St, Stratford, CT 06615-5920
- Phone Number
- 203-414-4985
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 9, 2020
- Last Update Date
- March 9, 2020
- Certification Date
- March 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2225 Main St
Stratford, CT 06615-5920 - City
- Stratford
- State
- Connecticut
- Zip
- 06615-5920
- Phone Number
- 203-414-4985
Provider Business Mailing Address Details
- Address
- Po Box 11
Derby, CT 06418-0011 - City
- Derby
- State
- CT
- Zip
- 06418-0011
- Phone Number
- 203-414-4985
License Information
- License Number
- 000752
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Holly Heaven?
The NPI number of Holly Heaven is 1457986580. It was assigned on March 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Holly Heaven?
Holly Heaven is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 000752.
Where does Holly Heaven practice?
The practice location is 2225 Main St, Stratford, CT 06615-5920. The office can be reached at 203-414-4985 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457986580 directly on the NPPES registry website.