Healthcare Provider Details

I. General information

NPI: 1144154634
Provider Name (Legal Business Name): TOTAL HEALING CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3381 OCEANSIDE RD
OCEANSIDE NY
11572-5513
US

IV. Provider business mailing address

3381 OCEANSIDE RD
OCEANSIDE NY
11572-5513
US

V. Phone/Fax

Practice location:
  • Phone: 917-216-4317
  • Fax: 917-216-4317
Mailing address:
  • Phone: 917-216-4317
  • Fax: 917-216-4317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA SOKOLOV
Title or Position: OWNER
Credential: LCSW
Phone: 917-216-4317