Healthcare Provider Details

I. General information

NPI: 1013515659
Provider Name (Legal Business Name): WHERE HEALING BEGINS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 08/27/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NEW BRITAIN AVE STE 101
HARTFORD CT
06110-2448
US

IV. Provider business mailing address

1100 NEW BRITAIN AVE STE 101
HARTFORD CT
06110-2448
US

V. Phone/Fax

Practice location:
  • Phone: 860-985-5215
  • Fax:
Mailing address:
  • Phone: 860-985-5215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LORENA SOTO BUNKER
Title or Position: OWNER
Credential: LMFT., M.ED.
Phone: 860-985-5215