Healthcare Provider Details

I. General information

NPI: 1487579884
Provider Name (Legal Business Name): EXPRESSIVE INTELLECT LLC DBA A HEALER'S TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 EDWARDS PL BSMT
YONKERS NY
10703-2440
US

IV. Provider business mailing address

318 EDWARDS PL BSMT
YONKERS NY
10703-2440
US

V. Phone/Fax

Practice location:
  • Phone: 929-690-5509
  • Fax:
Mailing address:
  • Phone: 929-690-5509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: CLARISSA BLANCO
Title or Position: FOUNDING MEMBER
Credential: BS,MS
Phone: 929-690-5509