MEDICARE: HEALING ELEMENTS COUNSELING

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063299071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING ELEMENTS COUNSELING

Provider Business Mailing Address
First Line	:	15887 SNOW RD
Second Line	:
City	:	BROOKPARK
State	:	OH
Zip	:	44142-2858
Country	:	US
Telephone Number	:	216-714-3128
Fax Number	:	888-892-2977

Provider Business Practice Location Address
First Line	:	15887 SNOW RD
Second Line	:
City	:	BROOKPARK
State	:	OH
Zip	:	44142-2858
Country	:	US
Telephone Number	:	216-571-2909
Fax Number	:	888-892-2977

Authorized Official
Title or Position	:	OWNER
Name	:	TINA KENNEY
Credential	:	LPCC-S
Telephone Number	:	216-714-3128

Provider Enumeration Date	:	09/12/2023
Last Update Date	:	12/06/2023

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Directions to “HEALING ELEMENTS COUNSELING ” Practice Location

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