MEDICARE: THE HEALING SPOT 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	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447834148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEALING SPOT LLC

Provider Business Mailing Address
First Line	:	57 NORTH ST STE 406
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-5629
Country	:	US
Telephone Number	:	203-936-6377
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 NORTH ST STE 406
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-5629
Country	:	US
Telephone Number	:	203-936-6377
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXSANDRA PENALBERT
Credential	:	LCSW
Telephone Number	:	203-936-6377

Provider Enumeration Date	:	05/09/2021
Last Update Date	:	12/15/2025

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Directions to “THE HEALING SPOT LLC ” Practice Location

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