Provider Demographics
NPI:1689927451
Name:HEALING JOURNEY PLLC
Entity Type:Organization
Organization Name:HEALING JOURNEY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIXIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:509-303-9947
Mailing Address - Street 1:PO BOX 1539
Mailing Address - Street 2:
Mailing Address - City:PROSSER
Mailing Address - State:WA
Mailing Address - Zip Code:99350-0833
Mailing Address - Country:US
Mailing Address - Phone:509-303-9947
Mailing Address - Fax:
Practice Address - Street 1:30 MERLOT DRIVE
Practice Address - Street 2:SUITE F
Practice Address - City:PROSSER
Practice Address - State:WA
Practice Address - Zip Code:99350
Practice Address - Country:US
Practice Address - Phone:509-303-9947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603218835251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health