Healthcare Provider Details

I. General information

NPI: 1538695622
Provider Name (Legal Business Name): HEALING BALM THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2017
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 OLD YORK RD STE 114A
ELKINS PARK PA
19027-2324
US

IV. Provider business mailing address

6030 N 2ND ST
PHILADELPHIA PA
19120-1901
US

V. Phone/Fax

Practice location:
  • Phone: 267-259-4141
  • Fax: 215-277-7992
Mailing address:
  • Phone: 267-259-4141
  • Fax: 215-277-7992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. RENEE DARCELL FRIERSON-BRISCOE
Title or Position: OWNER
Credential: LPC, LMFT
Phone: 267-259-4141