Healthcare Provider Details

I. General information

NPI: 1205550886
Provider Name (Legal Business Name): HEALING ARTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 CHAPEL HILL RD
DURHAM NC
27707-1109
US

IV. Provider business mailing address

2003 CHAPEL HILL RD
DURHAM NC
27707-1109
US

V. Phone/Fax

Practice location:
  • Phone: 919-335-3447
  • Fax: 919-887-2746
Mailing address:
  • Phone: 919-335-3447
  • Fax: 919-887-2746

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 Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA HAMRICK
Title or Position: BUSINESS OWNER
Credential:
Phone: 260-316-6833