Healthcare Provider Details

I. General information

NPI: 1972343895
Provider Name (Legal Business Name): HOPEFUL HEART HOLISTIC COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 SIMSBURY RD BLDG 9
AVON CT
06001-3777
US

IV. Provider business mailing address

93 VILLAGE LN
COLLINSVILLE CT
06019-3419
US

V. Phone/Fax

Practice location:
  • Phone: 860-325-2259
  • Fax:
Mailing address:
  • Phone: 860-307-5722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LICIA KRIER
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 860-325-2259