Provider Demographics
NPI:1437791910
Name:CENTER FOR COMPASSIONATE HEALING, LLC
Entity Type:Organization
Organization Name:CENTER FOR COMPASSIONATE HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:ANASTASIA
Authorized Official - Last Name:HERWIG
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNS
Authorized Official - Phone:440-212-8045
Mailing Address - Street 1:26027 COBBLESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2459
Mailing Address - Country:US
Mailing Address - Phone:440-212-8045
Mailing Address - Fax:440-808-8860
Practice Address - Street 1:27101 E OVIATT RD
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-3307
Practice Address - Country:US
Practice Address - Phone:440-360-9306
Practice Address - Fax:440-808-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty