Healthcare Provider Details

I. General information

NPI: 1932819075
Provider Name (Legal Business Name): HEALING AND RECONNECTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 EAST MARKET STREET H-5
YORK PA
17402-2861
US

IV. Provider business mailing address

2331 EAST MARKET STE 3
YORK PA
17402-2861
US

V. Phone/Fax

Practice location:
  • Phone: 717-318-1933
  • Fax: 223-225-8701
Mailing address:
  • Phone: 717-318-1933
  • Fax: 223-225-8701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JUDITH NEGRON TORRES
Title or Position: OWNER/OUTPATIENT THERAPIST
Credential: LPC, NCC
Phone: 717-318-1933