Provider Demographics
NPI:1164292397
Name:HEALING FROM WITHIN LLC
Entity Type:Organization
Organization Name:HEALING FROM WITHIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-888-2334
Mailing Address - Street 1:9717 GREENHAVEN PKWY
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1610
Mailing Address - Country:US
Mailing Address - Phone:330-888-2334
Mailing Address - Fax:
Practice Address - Street 1:9717 GREENHAVEN PKWY
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1610
Practice Address - Country:US
Practice Address - Phone:330-888-2334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle