Healthcare Provider Details

I. General information

NPI: 1912772021
Provider Name (Legal Business Name): HOPE IN HEALING THERAPY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 SCANTIC RD
EAST WINDSOR CT
06088-9755
US

IV. Provider business mailing address

49 PUTNAM BLVD # 1052
GLASTONBURY CT
06033-1079
US

V. Phone/Fax

Practice location:
  • Phone: 860-265-4146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: SCOTT STREETER
Title or Position: CEO
Credential:
Phone: 860-331-0421