Provider Demographics
NPI:1326815192
Name:HEALING PLACE
Entity Type:Organization
Organization Name:HEALING PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO NEUMAYER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CADC, PEL
Authorized Official - Phone:815-735-3380
Mailing Address - Street 1:210 HUNTINGTON CT
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-9423
Mailing Address - Country:US
Mailing Address - Phone:815-735-3380
Mailing Address - Fax:
Practice Address - Street 1:81 N CHICAGO ST STE 204
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60432-4383
Practice Address - Country:US
Practice Address - Phone:815-735-3380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty