Provider Demographics
NPI:1225909575
Name:EXPERIENCE HEALING COUNSELING SERVICES
Entity type:Organization
Organization Name:EXPERIENCE HEALING COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-614-6008
Mailing Address - Street 1:58 BRECKENRIDGE WAY UNIT 26
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-4027
Mailing Address - Country:US
Mailing Address - Phone:603-455-6064
Mailing Address - Fax:
Practice Address - Street 1:36 COUNTRY CLUB RD UNIT 924
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6978
Practice Address - Country:US
Practice Address - Phone:603-614-6008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty