Provider Demographics
NPI:1679262141
Name:HEALING CONNECTIONS COUNSELING GROUP PLLC
Entity type:Organization
Organization Name:HEALING CONNECTIONS COUNSELING GROUP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSENAULT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-634-8822
Mailing Address - Street 1:91 N STATE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4300
Mailing Address - Country:US
Mailing Address - Phone:603-634-8822
Mailing Address - Fax:603-856-8061
Practice Address - Street 1:91 N STATE ST STE 101
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4300
Practice Address - Country:US
Practice Address - Phone:603-634-8822
Practice Address - Fax:603-856-8061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3146786Medicaid