Provider Demographics
NPI:1871060236
Name:HEALING TRUTH CENTER LLC
Entity type:Organization
Organization Name:HEALING TRUTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AARONS-COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-771-7785
Mailing Address - Street 1:200 NORTH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6447
Mailing Address - Country:US
Mailing Address - Phone:917-771-7785
Mailing Address - Fax:
Practice Address - Street 1:200 NORTH AVE STE 4
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6447
Practice Address - Country:US
Practice Address - Phone:917-740-6449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center