Provider Demographics
NPI:1003222373
Name:HEALING ARTS UNLIMITED OF TENNESSEE LLC
Entity Type:Organization
Organization Name:HEALING ARTS UNLIMITED OF TENNESSEE LLC
Other - Org Name:TRINA HEALTH OF MEMPHIS
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-338-5312
Mailing Address - Street 1:420 S GERMANTOWN PKWY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4387
Mailing Address - Country:US
Mailing Address - Phone:901-682-1234
Mailing Address - Fax:
Practice Address - Street 1:420 S GERMANTOWN PKWY
Practice Address - Street 2:SUITE 112
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4387
Practice Address - Country:US
Practice Address - Phone:901-682-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy