Provider Demographics
NPI:1043083371
Name:HEALING 180, LLC
Entity Type:Organization
Organization Name:HEALING 180, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RICHARA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:SHEPPERSON-TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-665-4750
Mailing Address - Street 1:10705 CHARLESFIELD CT
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-8108
Mailing Address - Country:US
Mailing Address - Phone:804-665-4750
Mailing Address - Fax:
Practice Address - Street 1:10705 CHARLESFIELD CT
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-8108
Practice Address - Country:US
Practice Address - Phone:804-665-4750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health