Healthcare Provider Details
I. General information
NPI: 1285290247
Provider Name (Legal Business Name): HYGGE HEALER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 FOREST AVE STE 5
PARAMUS NJ
07652-5238
US
IV. Provider business mailing address
9 BROWNSTONE WAY APT 113
ENGLEWOOD NJ
07631-1214
US
V. Phone/Fax
- Phone: 201-921-5632
- Fax:
- Phone: 201-921-5632
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 37PC00673000 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | LICENSE NUMBER |
| # 2 | |
| Identifier | 37AC00244600 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | LICENSE NUMBER |
VIII. Authorized Official
Name:
BRITTANY
BUR
Title or Position: FOUNDER/PSYCHOTHERAPIST
Credential: LPC
Phone: 201-921-5632