Provider Demographics
NPI:1245766344
Name:HEALING HANDS MINISTRY LLC
Entity Type:Organization
Organization Name:HEALING HANDS MINISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:602-748-5200
Mailing Address - Street 1:PO BOX 56691
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85079-6691
Mailing Address - Country:US
Mailing Address - Phone:602-748-5200
Mailing Address - Fax:
Practice Address - Street 1:8900 N CENTRAL AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2845
Practice Address - Country:US
Practice Address - Phone:602-748-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3320482251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health