Provider Demographics
NPI:1508516634
Name:HEALING CONNECTIONS WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:HEALING CONNECTIONS WELLNESS CENTER, LLC
Other - Org Name:ANCHORED LIFE WELLNESS CENTER, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MICHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-283-4123
Mailing Address - Street 1:7015 SPRING MEADOWS WEST DR STE 106
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-7200
Mailing Address - Country:US
Mailing Address - Phone:419-283-4123
Mailing Address - Fax:419-491-7111
Practice Address - Street 1:7015 SPRING MEADOWS W DR STE 106
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-7200
Practice Address - Country:US
Practice Address - Phone:419-283-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty