Provider Demographics
NPI:1689275323
Name:HEALING PLACE COUNSELING, LLC
Entity Type:Organization
Organization Name:HEALING PLACE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLI
Authorized Official - Middle Name:A
Authorized Official - Last Name:YOUNKER-SCHIFFERNS
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-991-4696
Mailing Address - Street 1:631 RIM RIDGE RD # NE68048
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-7310
Mailing Address - Country:US
Mailing Address - Phone:402-991-4696
Mailing Address - Fax:
Practice Address - Street 1:3802 RAYNOR PKWY STE 203
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-2528
Practice Address - Country:US
Practice Address - Phone:402-991-4696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-07
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)