Healthcare Provider Details

I. General information

NPI: 1043127152
Provider Name (Legal Business Name): HEALING BEYOND WORDS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

672 QUEEN ST # 1118
SOUTHINGTON CT
06489-1540
US

IV. Provider business mailing address

672 QUEEN ST # 1118
SOUTHINGTON CT
06489-1540
US

V. Phone/Fax

Practice location:
  • Phone: 203-441-5651
  • Fax:
Mailing address:
  • Phone: 203-441-5651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARIAH LYNN SANTANA
Title or Position: MENTAL HEALTH CLINICIAN
Credential: LMFT
Phone: 203-441-5651