| Healing Therapy Services Inc | |
|
5006 Shorthorn Way Greensboro NC 27405-9770 | |
| (336) 516-5758 | |
| Not Available |
| Full Name | Healing Therapy Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5006 Shorthorn Way, Greensboro, North Carolina |
| Authorized Official Name and Position | Chasidy Shantella Alston (OWNER) |
| Authorized Official Contact | 3365165758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Therapy Services Inc 5006 Shorthorn Way Greensboro NC 27405-9770 Ph: (336) 516-5758 | Healing Therapy Services Inc 5006 Shorthorn Way Greensboro NC 27405-9770 Ph: (336) 516-5758 |
| NPI Number | 1245903483 |
|---|---|
| Provider Enumeration Date | 07/25/2021 |
| Last Update Date | 07/25/2021 |
| Certification Date | 07/25/2021 |
| Medicare PECOS PAC ID | 7416349592 |
|---|---|
| Medicare Enrollment ID | O20220124000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245903483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chasidy Alston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417498593 PECOS PAC ID: 4789931890 Enrollment ID: I20180720001014 |
| Provider Name | Shaunte' Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023467602 PECOS PAC ID: 7618327974 Enrollment ID: I20231228002026 |
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