Provider Demographics
NPI:1184039307
Name:HEALINGWISDOM MEDICINE
Entity Type:Organization
Organization Name:HEALINGWISDOM MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:P
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, MOM, LAC
Authorized Official - Phone:202-320-4213
Mailing Address - Street 1:1555 CONNECTICUT AVE NW FL 3
Mailing Address - Street 2:WASHINGTON DC 20036
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1111
Mailing Address - Country:US
Mailing Address - Phone:202-320-4213
Mailing Address - Fax:
Practice Address - Street 1:1555 CONNECTICUT AVE NW FL 3
Practice Address - Street 2:WASHINGTON DC 20036
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1111
Practice Address - Country:US
Practice Address - Phone:202-320-4213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500188171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty