Healthcare Provider Details

I. General information

NPI: 1104746759
Provider Name (Legal Business Name): HEALING AND BECOMING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 1ST ST
JACKSON MI
49201-2102
US

IV. Provider business mailing address

207 1ST ST
JACKSON MI
49201-2102
US

V. Phone/Fax

Practice location:
  • Phone: 517-513-7274
  • Fax: 517-513-9445
Mailing address:
  • Phone: 517-513-7274
  • Fax: 517-513-9445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BETSY VICKERS
Title or Position: OWNER
Credential: LMSW
Phone: 517-944-0111