Healthcare Provider Details

I. General information

NPI: 1528081593
Provider Name (Legal Business Name): HEALING FOR LIFE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2436 N CENTER ST
HICKORY NC
28601-1335
US

IV. Provider business mailing address

2436 N CENTER ST
HICKORY NC
28601-1335
US

V. Phone/Fax

Practice location:
  • Phone: 828-325-5850
  • Fax: 828-325-5852
Mailing address:
  • Phone: 828-325-5850
  • Fax: 828-325-5852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number017990
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberNC2382
License Number StateNC

VIII. Authorized Official

Name: DR. ELIZABETH F. BEADLE
Title or Position: OWNER
Credential: DC, DIPL.AC(NCCAOM)
Phone: 828-325-5850