Provider Demographics
NPI:1790039691
Name:JW HEALING
Entity Type:Organization
Organization Name:JW HEALING
Other - Org Name:JENNIFER WILLHOIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILLHOIT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:219-923-2050
Mailing Address - Street 1:8212 KENNEDY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1130
Mailing Address - Country:US
Mailing Address - Phone:219-923-2050
Mailing Address - Fax:
Practice Address - Street 1:8212 KENNEDY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1130
Practice Address - Country:US
Practice Address - Phone:219-923-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005114A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health