HOLLY HEAVEN NPI 1639791106

NPI Information

  • NPI: 1639791106
  • Provider Name: HOLLY HEAVEN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: ANOTHER WAY COUNSELING SERVICE LLC
  • Address: 1057 BROAD ST STE 304
    BRIDGEPORT, CT
    ZIP 06604
  • Phone: (203) 545-1582

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NPI Details

HOLLY HEAVEN is a mental health counselor in Bridgeport, CT. HOLLY HEAVEN NPI is 1639791106. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Another Way Counseling Service Llc.

The provider's business location address is:

1057 BROAD ST STE 304
BRIDGEPORT, CT
ZIP 06604-219
Phone: (203) 545-1582

The provider's authorized official is Holly Heaven .
The authorized official title is Owner and has the following contact phone number (203) 545-1582.

The enumeration date for this NPI number is 5/7/2020 and was last updated on 1/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YP2500XCounselorProfessionalNo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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