MEDICARE: HEALING ARTS CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	2301006128	MI

General Provider Information

NPI Number	:	1023202777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING ARTS CENTER, INC.

Provider Business Mailing Address
First Line	:	1640 AXTELL RD
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-4431
Country	:	US
Telephone Number	:	248-649-3500
Fax Number	:	248-822-9134

Provider Business Practice Location Address
First Line	:	1640 AXTELL RD
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-4431
Country	:	US
Telephone Number	:	248-649-3500
Fax Number	:	248-822-9134

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THERESA MARIE PIGOTT
Credential	:	D.C.
Telephone Number	:	248-649-3500

Provider Enumeration Date	:	09/05/2007
Last Update Date	:	09/05/2007

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