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NPI Code Detail

MEDICARE: HEALING CHOICE LLC

MEDICARE: HEALING CHOICE 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
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1760376776
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING CHOICE LLC
Provider Business Mailing Address
First Line : 701 GREEN VALLEY RD STE 100
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7096
Country : US
Telephone Number : 919-339-9540
Fax Number :
Provider Business Practice Location Address
First Line : 701 GREEN VALLEY RD STE 100
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7096
Country : US
Telephone Number : 919-339-9540
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LARRITA N LONG
Credential :
Telephone Number : 919-339-9540
Provider Enumeration Date : 06/04/2025
Last Update Date : 07/16/2025

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Directions to “HEALING CHOICE LLC ” Practice Location

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