Provider Demographics
NPI:1710381819
Name:THE HEALING PLACE, A CENTER FOR LOSS AND CHANGE
Entity Type:Organization
Organization Name:THE HEALING PLACE, A CENTER FOR LOSS AND CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINGFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-383-7133
Mailing Address - Street 1:2409 WILDWOOD
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-6407
Mailing Address - Country:US
Mailing Address - Phone:256-383-7133
Mailing Address - Fax:
Practice Address - Street 1:2409 WILDWOOD
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-6407
Practice Address - Country:US
Practice Address - Phone:256-383-7133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable