Provider Demographics
NPI:1336308055
Name:CENTER FOR HEALING & WELLNESS, P.C.
Entity Type:Organization
Organization Name:CENTER FOR HEALING & WELLNESS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:I.
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-236-5773
Mailing Address - Street 1:401 JACKSON AVE E
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-3809
Mailing Address - Country:US
Mailing Address - Phone:662-236-5773
Mailing Address - Fax:662-236-5844
Practice Address - Street 1:401 JACKSON AVE E
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-3809
Practice Address - Country:US
Practice Address - Phone:662-236-5773
Practice Address - Fax:662-236-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care