MEDICARE: THE HEALING HOUR, 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	:	1467210724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEALING HOUR, LLC

Provider Business Mailing Address
First Line	:	PO BOX 51
Second Line	:
City	:	NEW MILFORD
State	:	NJ
Zip	:	07646-0051
Country	:	US
Telephone Number	:	201-644-6523
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 CARNATION DR
Second Line	:
City	:	NEW MILFORD
State	:	NJ
Zip	:	07646-2507
Country	:	US
Telephone Number	:	201-644-6523
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACKLIN AYDIN
Credential	:	LPC
Telephone Number	:	201-644-6523

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	05/15/2026

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