Provider Demographics
NPI:1073164570
Name:HEALING HOME THERAPY INC
Entity Type:Organization
Organization Name:HEALING HOME THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:HADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARZOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-714-6799
Mailing Address - Street 1:920 N YORK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8626
Mailing Address - Country:US
Mailing Address - Phone:312-714-6799
Mailing Address - Fax:
Practice Address - Street 1:920 N YORK RD STE 200
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8626
Practice Address - Country:US
Practice Address - Phone:312-714-6799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1649650078OtherNPI