Healthcare Provider Details

I. General information

NPI: 1699344317
Provider Name (Legal Business Name): HEAL TOGETHER COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194A PLEASANT ST STE 206
CONCORD NH
03301-2903
US

IV. Provider business mailing address

194A PLEASANT ST STE 206
CONCORD NH
03301-2903
US

V. Phone/Fax

Practice location:
  • Phone: 401-584-4325
  • Fax: 978-616-7325
Mailing address:
  • Phone: 401-584-4325
  • Fax: 978-616-7325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: REBECCA SEARLES
Title or Position: OWNER/THERAPIST
Credential: LICSW
Phone: 401-584-4325