Provider Demographics
NPI:1457236895
Name:HAPPY VALLEY HEALING NEST LLC
Entity type:Organization
Organization Name:HAPPY VALLEY HEALING NEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMKO
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LPC
Authorized Official - Phone:814-343-0115
Mailing Address - Street 1:1051 TEABERRY LN APT D107
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-2986
Mailing Address - Country:US
Mailing Address - Phone:814-343-0115
Mailing Address - Fax:
Practice Address - Street 1:1051 TEABERRY LN APT D107
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2986
Practice Address - Country:US
Practice Address - Phone:814-343-0115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health