Healthcare Provider Details

I. General information

NPI: 1962910562
Provider Name (Legal Business Name): HEALING THERAPY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HEALING THERAPY 1919 NE 45TH STREET , SUITE 225
FT. LAUDERALE FL
33308
US

IV. Provider business mailing address

HEALING THERAPY 9820 CORONADO LAKE DRIVE
BOYNTON BEACH FL
33437
US

V. Phone/Fax

Practice location:
  • Phone: 305-419-9565
  • Fax: 561-491-7471
Mailing address:
  • Phone: 305-519-9565
  • Fax: 561-491-7471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAHLIA BESS MICHELS
Title or Position: OWNER
Credential: LCSW 12141
Phone: 305-519-9565