Healthcare Provider Details

I. General information

NPI: 1336062546
Provider Name (Legal Business Name): HEALING PINEAPPLE THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 MCKEE FARM LN
BELMONT NC
28012-8671
US

IV. Provider business mailing address

1165 MCKEE FARM LN
BELMONT NC
28012-8671
US

V. Phone/Fax

Practice location:
  • Phone: 201-403-4705
  • Fax:
Mailing address:
  • Phone: 201-403-4705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE MOORE
Title or Position: OWNER/PROVIDER
Credential: LCSW
Phone: 201-403-4705