MEDICARE: HEALTH AND HEALING 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	1041C0700X	Clinical Social Worker	2002021129	MO

General Provider Information

NPI Number	:	1548437098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND HEALING LLC

Provider Business Mailing Address
First Line	:	303 WELLER ST
Second Line	:
City	:	MACON
State	:	MO
Zip	:	63552-1942
Country	:	US
Telephone Number	:	660-395-0180
Fax Number	:	660-395-0181

Provider Business Practice Location Address
First Line	:	303 WELLER ST
Second Line	:
City	:	MACON
State	:	MO
Zip	:	63552-1942
Country	:	US
Telephone Number	:	660-395-0180
Fax Number	:	660-395-0181

Authorized Official
Title or Position	:	OWNER
Name	:	MS. DONNELL HUFF GATSON
Credential	:	LCSW
Telephone Number	:	660-395-0180

Provider Enumeration Date	:	05/14/2008
Last Update Date	:	12/15/2010

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Directions to “HEALTH AND HEALING LLC ” Practice Location

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