Provider Demographics
NPI:1407595572
Name:A HEALING FOR ALL COUNSELING AND WELLNESS
Entity Type:Organization
Organization Name:A HEALING FOR ALL COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANIUGA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCCS
Authorized Official - Phone:937-902-1845
Mailing Address - Street 1:214 WINDY CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-6258
Mailing Address - Country:US
Mailing Address - Phone:937-902-1845
Mailing Address - Fax:
Practice Address - Street 1:8401 CLAUDE THOMAS RD STE 37
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1475
Practice Address - Country:US
Practice Address - Phone:513-695-1546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0489258Medicaid