Healthcare Provider Details

I. General information

NPI: 1730987132
Provider Name (Legal Business Name): THE HEALING EXPERIENCE COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 TALMADGE RD UNIT 339
EDISON NJ
08817-2860
US

IV. Provider business mailing address

180 TALMADGE RD UNIT 339
EDISON NJ
08817-2860
US

V. Phone/Fax

Practice location:
  • Phone: 973-370-4030
  • Fax: 973-370-4030
Mailing address:
  • Phone: 973-370-4030
  • Fax: 973-370-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. NATHASHA NAZAIRE
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 973-370-4030