Provider Demographics
NPI:1407586993
Name:HYACINTH HEALING CENTER, PLLC
Entity Type:Organization
Organization Name:HYACINTH HEALING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-881-4839
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:BRITTON
Mailing Address - State:MI
Mailing Address - Zip Code:49229-0243
Mailing Address - Country:US
Mailing Address - Phone:734-881-4839
Mailing Address - Fax:
Practice Address - Street 1:8705 E MONROE RD
Practice Address - Street 2:
Practice Address - City:BRITTON
Practice Address - State:MI
Practice Address - Zip Code:49229-9786
Practice Address - Country:US
Practice Address - Phone:734-881-4839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty