Healthcare Provider Details

I. General information

NPI: 1770448797
Provider Name (Legal Business Name): THE HEALING FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 MITCHELLVILLE RD STE 1073
BOWIE MD
20716-3112
US

IV. Provider business mailing address

4450 MITCHELLVILLE RD STE 1073
BOWIE MD
20716-3112
US

V. Phone/Fax

Practice location:
  • Phone: 202-276-5074
  • Fax:
Mailing address:
  • Phone: 202-276-5074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MS. CYNTHIA M. WILKINS
Title or Position: FOUNDER/CEO
Credential: PSYCHOLOGIST
Phone: 202-276-5074