Provider Demographics
NPI:1073232401
Name:HEALING IN ACTION COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:HEALING IN ACTION COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:856-607-2757
Mailing Address - Street 1:737 BAINBRIDGE ST # 7505
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-2058
Mailing Address - Country:US
Mailing Address - Phone:856-607-2757
Mailing Address - Fax:267-703-5319
Practice Address - Street 1:737 BAINBRIDGE ST # 7505
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-2058
Practice Address - Country:US
Practice Address - Phone:856-607-2757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty