Provider Demographics
NPI:1710671938
Name:HEALING HANDS WELLNESS AND RESTORATION LLC
Entity Type:Organization
Organization Name:HEALING HANDS WELLNESS AND RESTORATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:QUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:RMP
Authorized Official - Phone:443-804-8110
Mailing Address - Street 1:2218 CEDAR BARN WAY
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1246
Mailing Address - Country:US
Mailing Address - Phone:443-804-8110
Mailing Address - Fax:
Practice Address - Street 1:8415 BELLONA LN STE 110
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2015
Practice Address - Country:US
Practice Address - Phone:410-301-4149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty