Healthcare Provider Details

I. General information

NPI: 1649643461
Provider Name (Legal Business Name): THE HEALING PROFESSIONALS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 11/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 HYANNIS DR SUITE C
HOLLY SPRINGS NC
27540-8327
US

IV. Provider business mailing address

106 HYANNIS DR SUITE C
HOLLY SPRINGS NC
27540-8327
US

V. Phone/Fax

Practice location:
  • Phone: 919-518-5981
  • Fax:
Mailing address:
  • Phone: 919-518-5981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-848
License Number StateNC

VIII. Authorized Official

Name: MS. APRIL H SMITH
Title or Position: MANAGING MEMBER/OWNER
Credential: L.AC.
Phone: 919-518-5981