MEDICARE: HK HEALING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1811722739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HK HEALING LLC

Provider Business Mailing Address
First Line	:	1820 HILLCREST AVE
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 HILLCREST AVE
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6042
Country	:	US
Telephone Number	:	321-439-1497
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ PROVIDER
Name	:	HEATHER KAY IRBY
Credential	:
Telephone Number	:	321-439-1497

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	02/05/2025

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Directions to “HK HEALING LLC ” Practice Location

Language	Start Address	Practice Location

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