| Healthy Healing Llc | |
|
30841 Euclid Ave Ste 103 Willoughby OH 44094-3100 | |
| (440) 601-9247 | |
| Not Available |
| Full Name | Healthy Healing Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 30841 Euclid Ave Ste 103, Willoughby, Ohio |
| Authorized Official Name and Position | Nicole Denise Nickens (CEO) |
| Authorized Official Contact | 4406019247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Healing Llc 2222 Detroit Ave Apt 410 Cleveland OH 44113-2455 Ph: (440) 601-9247 | Healthy Healing Llc 30841 Euclid Ave Ste 103 Willoughby OH 44094-3100 Ph: (440) 601-9247 |
| NPI Number | 1396466272 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 08/10/2024 |
| Certification Date | 08/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396466272 | NPI | - | NPPES |
| 0223866 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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