Provider Demographics
NPI:1881206605
Name:HEALING AND WHOLENESS
Entity Type:Organization
Organization Name:HEALING AND WHOLENESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-376-9122
Mailing Address - Street 1:9634 HAWK CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4716
Mailing Address - Country:US
Mailing Address - Phone:702-376-9122
Mailing Address - Fax:
Practice Address - Street 1:9634 HAWK CLIFF AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4716
Practice Address - Country:US
Practice Address - Phone:702-376-9122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LESHA M DELANEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty