Healthcare Provider Details

I. General information

NPI: 1841001245
Provider Name (Legal Business Name): HEALING WORDS PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY # 7064
ALBANY NY
12207-2922
US

IV. Provider business mailing address

1986 CANNY CV
WINTER PARK FL
32792-1606
US

V. Phone/Fax

Practice location:
  • Phone: 917-825-2155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: YUETONG LI
Title or Position: CLINICAL SUPERVISOR
Credential: LCSW
Phone: 917-825-2155