Healthcare Provider Details

I. General information

NPI: 1700780863
Provider Name (Legal Business Name): HEALING HANDS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 BRILL ST
PHILADELPHIA PA
19124-1007
US

IV. Provider business mailing address

907 BRILL ST
PHILADELPHIA PA
19124-1007
US

V. Phone/Fax

Practice location:
  • Phone: 609-571-2111
  • Fax:
Mailing address:
  • Phone: 609-571-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LENAN HAWKINS
Title or Position: CO OWNER
Credential:
Phone: 609-571-2111