Provider Demographics
NPI:1710703954
Name:HEALING HARFORD LLC
Entity type:Organization
Organization Name:HEALING HARFORD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:TROVATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-920-0059
Mailing Address - Street 1:1407 WOODRIDGE MANOR RD
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2656
Mailing Address - Country:US
Mailing Address - Phone:410-920-0059
Mailing Address - Fax:
Practice Address - Street 1:1407 WOODRIDGE MANOR RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2656
Practice Address - Country:US
Practice Address - Phone:410-920-0059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty