Provider Demographics
NPI:1497275531
Name:HEALING HANDS HOMECARE AND SOUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:HEALING HANDS HOMECARE AND SOUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IVORIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-813-4458
Mailing Address - Street 1:10439 GARDO CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63137-3507
Mailing Address - Country:US
Mailing Address - Phone:314-813-4458
Mailing Address - Fax:314-736-6988
Practice Address - Street 1:10439 GARDO CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63137-3507
Practice Address - Country:US
Practice Address - Phone:314-813-4458
Practice Address - Fax:314-736-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103TC1900X, 103TF0000X, 103TH0100X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty