Healthcare Provider Details

I. General information

NPI: 1730710872
Provider Name (Legal Business Name): HEALING WORD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2020
Last Update Date: 03/24/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 ROUTE 66 SUITE C
MORIARTY NM
87035
US

IV. Provider business mailing address

PO BOX 57
MORIARTY NM
87035-0057
US

V. Phone/Fax

Practice location:
  • Phone: 505-226-1523
  • Fax: 505-521-5191
Mailing address:
  • Phone: 505-226-1523
  • Fax: 505-521-5191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELINDA STERN
Title or Position: OWNER
Credential: LCSW
Phone: 505-226-1543