Provider Demographics
NPI:1295368306
Name:HEALING ARTS CENTER LLC
Entity Type:Organization
Organization Name:HEALING ARTS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAVROS
Authorized Official - Suffix:
Authorized Official - Credentials:LOM
Authorized Official - Phone:215-627-3782
Mailing Address - Street 1:123 CHESTNUT ST STE 204
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3051
Mailing Address - Country:US
Mailing Address - Phone:215-627-3782
Mailing Address - Fax:
Practice Address - Street 1:123 CHESTNUT ST STE 204
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3051
Practice Address - Country:US
Practice Address - Phone:215-627-3782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty