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NPI Code Detail

MEDICARE: HEALING THERAPY SERVICES INC

MEDICARE: HEALING THERAPY SERVICES 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1245903483
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING THERAPY SERVICES INC
Provider Business Mailing Address
First Line : 5006 SHORTHORN WAY
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-9770
Country : US
Telephone Number : 336-516-5758
Fax Number :
Provider Business Practice Location Address
First Line : 5006 SHORTHORN WAY
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-9770
Country : US
Telephone Number : 336-516-5758
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHASIDY SHANTELLA ALSTON
Credential : LCSW
Telephone Number : 336-516-5758
Provider Enumeration Date : 07/25/2021
Last Update Date : 07/25/2021

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Directions to “HEALING THERAPY SERVICES INC ” Practice Location

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