Provider Demographics
NPI:1528391869
Name:HEALING WORD COUNSELING CENTER
Entity Type:Organization
Organization Name:HEALING WORD COUNSELING CENTER
Other - Org Name:EMOTIONAL FITNESS CENTERS OF TENNESSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-508-2573
Mailing Address - Street 1:3885 TCHULAHOMA RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-5819
Mailing Address - Country:US
Mailing Address - Phone:901-370-4673
Mailing Address - Fax:901-370-5717
Practice Address - Street 1:3885 TCHULAHOMA RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-5819
Practice Address - Country:US
Practice Address - Phone:901-370-4673
Practice Address - Fax:901-370-5717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000004472251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health