MEDICARE: HEALING AND MINDFUL THERAPY CONNECTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1104768019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING AND MINDFUL THERAPY CONNECTIONS LLC

Provider Business Mailing Address
First Line	:	1250 GREEBY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-5525
Country	:	US
Telephone Number	:	215-833-7001
Fax Number	:

Provider Business Practice Location Address
First Line	:	377 CRANE ST APT 325
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-3050
Country	:	US
Telephone Number	:	215-833-7001
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MEGAN LAMBERT
Credential	:	MSW, LSW
Telephone Number	:	215-833-7001

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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