Provider Demographics
NPI:1497470975
Name:HEALING MENTAL HEALTH PLLC
Entity Type:Organization
Organization Name:HEALING MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-834-8181
Mailing Address - Street 1:5770 HIGHLAND RD STE C
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1877
Mailing Address - Country:US
Mailing Address - Phone:248-618-3568
Mailing Address - Fax:248-599-9568
Practice Address - Street 1:5770 HIGHLAND RD STE C
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1877
Practice Address - Country:US
Practice Address - Phone:248-618-3568
Practice Address - Fax:248-599-9568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty