| Healing Spirits Therapeutic Village Llc | |
|
911 Robinwood Ave Ste D Whitehall OH 43213-1783 | |
| (614) 805-0930 | |
| Not Available |
| Full Name | Healing Spirits Therapeutic Village Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 911 Robinwood Ave Ste D, Whitehall, Ohio |
| Authorized Official Name and Position | Michelle Johnson (BILLER) |
| Authorized Official Contact | 4196896495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Spirits Therapeutic Village Llc 911 Robinwood Ave Ste D Whitehall OH 43213-1783 Ph: () - | Healing Spirits Therapeutic Village Llc 911 Robinwood Ave Ste D Whitehall OH 43213-1783 Ph: (614) 805-0930 |
| NPI Number | 1316559008 |
|---|---|
| Provider Enumeration Date | 08/23/2020 |
| Last Update Date | 08/23/2020 |
| Certification Date | 08/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316559008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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