Provider Demographics
NPI:1164243267
Name:HEALING THE CULTURE LLC
Entity type:Organization
Organization Name:HEALING THE CULTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LADSON-VARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-869-9302
Mailing Address - Street 1:42 ELM ST
Mailing Address - Street 2:
Mailing Address - City:GRISWOLD
Mailing Address - State:CT
Mailing Address - Zip Code:06351-2316
Mailing Address - Country:US
Mailing Address - Phone:860-869-9302
Mailing Address - Fax:
Practice Address - Street 1:42 ELM ST
Practice Address - Street 2:
Practice Address - City:GRISWOLD
Practice Address - State:CT
Practice Address - Zip Code:06351-2316
Practice Address - Country:US
Practice Address - Phone:860-869-9302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty