| Healing 180, Llc | |
|
10705 Charlesfield Ct Henrico VA 23238-8108 | |
| (804) 665-4750 | |
| Not Available |
| Full Name | Healing 180, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10705 Charlesfield Ct, Henrico, Virginia |
| Authorized Official Name and Position | Richara Monique Shepperson-turner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8046654750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing 180, Llc 10705 Charlesfield Ct Henrico VA 23238-8108 Ph: (804) 665-4750 | Healing 180, Llc 10705 Charlesfield Ct Henrico VA 23238-8108 Ph: (804) 665-4750 |
| NPI Number | 1043083371 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043083371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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