Healthcare Provider Details

I. General information

NPI: 1093830390
Provider Name (Legal Business Name): HEALING CONCEPTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 RALEIGH ST
HOLLYWOOD FL
33024-2807
US

IV. Provider business mailing address

6717 RALEIGH ST
HOLLYWOOD FL
33024-2807
US

V. Phone/Fax

Practice location:
  • Phone: 305-310-4591
  • Fax: 754-263-5929
Mailing address:
  • Phone: 305-310-4591
  • Fax: 754-263-5929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAUL C. BRIGGS
Title or Position: OWNER
Credential:
Phone: 305-310-4591