Healthcare Provider Details

I. General information

NPI: 1477151694
Provider Name (Legal Business Name): HEALING GENETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2020
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 THORNE AVE
WILMINGTON OH
45177-1255
US

IV. Provider business mailing address

455 THORNE AVE
WILMINGTON OH
45177-1255
US

V. Phone/Fax

Practice location:
  • Phone: 937-768-4390
  • Fax:
Mailing address:
  • Phone: 937-768-4390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282J00000X
TaxonomyReligious Nonmedical Health Care Institution
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSE MARIE SPRUENGLI
Title or Position: SPIRITUAL LIFE COACH
Credential: HP, SLC, WC
Phone: 937-768-4390