Provider Demographics
NPI:1356137277
Name:HEALING EMBRACED LLC
Entity type:Organization
Organization Name:HEALING EMBRACED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KYRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGMON-BOSSA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-249-1091
Mailing Address - Street 1:300 STATE ST STE 413C
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-6177
Mailing Address - Country:US
Mailing Address - Phone:860-287-1854
Mailing Address - Fax:
Practice Address - Street 1:300 STATE ST STE 413C
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-6177
Practice Address - Country:US
Practice Address - Phone:860-249-1091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)