Provider Demographics
NPI:1235759903
Name:HEALING HANDS CENTER LLC
Entity Type:Organization
Organization Name:HEALING HANDS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIENKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-712-7199
Mailing Address - Street 1:1964 GALLOWS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3814
Mailing Address - Country:US
Mailing Address - Phone:703-712-7199
Mailing Address - Fax:703-712-7015
Practice Address - Street 1:1964 GALLOWS RD STE 300
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3814
Practice Address - Country:US
Practice Address - Phone:703-712-7199
Practice Address - Fax:703-712-7015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty