Provider Demographics
NPI:1154445047
Name:HEALING CONNECTIONS LLC
Entity Type:Organization
Organization Name:HEALING CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, ACSW
Authorized Official - Phone:989-274-9890
Mailing Address - Street 1:PO BOX 1646
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48641-1646
Mailing Address - Country:US
Mailing Address - Phone:989-274-9890
Mailing Address - Fax:989-892-4761
Practice Address - Street 1:5103 EASTMAN AVE
Practice Address - Street 2:SUITE 133
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6785
Practice Address - Country:US
Practice Address - Phone:989-274-9890
Practice Address - Fax:989-892-4761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010789471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN39910007Medicare ID - Type Unspecified
MIOP22930Medicare ID - Type Unspecified