Provider Demographics
NPI:1811235054
Name:A HEALING APPROACH
Entity Type:Organization
Organization Name:A HEALING APPROACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:GREENO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CADC, NCC
Authorized Official - Phone:319-360-6105
Mailing Address - Street 1:360 7TH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-5771
Mailing Address - Country:US
Mailing Address - Phone:319-360-6105
Mailing Address - Fax:
Practice Address - Street 1:360 7TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-5771
Practice Address - Country:US
Practice Address - Phone:319-360-6105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00832251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA743925000Medicaid