Provider Demographics
NPI:1003071002
Name:HEALING HANDS ACUPUNCTURE & HERBAL CLINIC, LLC
Entity Type:Organization
Organization Name:HEALING HANDS ACUPUNCTURE & HERBAL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:704-571-8783
Mailing Address - Street 1:6207 PARK SOUTH DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3267
Mailing Address - Country:US
Mailing Address - Phone:704-571-8783
Mailing Address - Fax:
Practice Address - Street 1:6207 PARK SOUTH DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3244
Practice Address - Country:US
Practice Address - Phone:704-571-8783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-20
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC491171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty