MEDICARE: HEALING CONNECTIONS

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1982327524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING CONNECTIONS

Provider Business Mailing Address
First Line	:	8666 BEECHMONT AVE # 1019
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-4710
Country	:	US
Telephone Number	:	513-549-6855
Fax Number	:

Provider Business Practice Location Address
First Line	:	4711 VINE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45217-1234
Country	:	US
Telephone Number	:	513-549-6855
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS KIM JEDLIKOWSKI
Credential	:	LPCC-S
Telephone Number	:	727-204-8477

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	09/20/2022

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Directions to “HEALING CONNECTIONS ” Practice Location

Language	Start Address	Practice Location

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