Healthcare Provider Details

I. General information

NPI: 1992587562
Provider Name (Legal Business Name): HEALING MERCY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 PINEY GROVE RD
CROSSVILLE AL
35962-5534
US

IV. Provider business mailing address

665 PINEY GROVE RD
CROSSVILLE AL
35962-5534
US

V. Phone/Fax

Practice location:
  • Phone: 256-572-0845
  • Fax:
Mailing address:
  • Phone: 256-572-0845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KEESHA HUDGINS
Title or Position: THERAPIST
Credential:
Phone: 256-572-0845