Healthcare Provider Details

I. General information

NPI: 1164340451
Provider Name (Legal Business Name): AZIMUTH HEALING AND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 BAY RIDGE DR
NASHUA NH
03062-4727
US

IV. Provider business mailing address

254 DANIEL WEBSTER HWY UNIT 7198
NASHUA NH
03060-2308
US

V. Phone/Fax

Practice location:
  • Phone: 774-278-1799
  • Fax:
Mailing address:
  • Phone: 774-278-1799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA HASKELL
Title or Position: OWNER / THERAPIST
Credential: MSW, LICSW
Phone: 774-278-1799