MEDICARE: HEALING SOLUTIONS LLC

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	101YP2500X	Professional Counselor	0701004923	VA

General Provider Information

NPI Number	:	1053783605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	36 W CLEVELAND AVE
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-2508
Country	:	US
Telephone Number	:	540-526-6699
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 W CLEVELAND AVE
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-2508
Country	:	US
Telephone Number	:	540-526-6699
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ZIZI HAMED LOFARO
Credential	:	LPC
Telephone Number	:	540-526-6699

Provider Enumeration Date	:	10/22/2015
Last Update Date	:	10/22/2015

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