| Arc Of Healing Therapy Services | |
|
4875 S Sherwood Forest Blvd Ste D1 Baton Rouge LA 70816-4640 | |
| (225) 512-4669 | |
| (833) 222-8840 |
| Full Name | Arc Of Healing Therapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 4875 S Sherwood Forest Blvd Ste D1, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Khrishandalyn Rationne Hicks (OWNER) |
| Authorized Official Contact | 3375770937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arc Of Healing Therapy Services 4875 S Sherwood Forest Blvd Ste D1 Baton Rouge LA 70816-4640 Ph: (225) 512-4669 | Arc Of Healing Therapy Services 4875 S Sherwood Forest Blvd Ste D1 Baton Rouge LA 70816-4640 Ph: (225) 512-4669 |
| NPI Number | 1194413096 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 1456705813 |
|---|---|
| Medicare Enrollment ID | O20231004000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194413096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Khrishandalyn Rationne Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821464546 PECOS PAC ID: 7810238763 Enrollment ID: I20190403001093 |
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