Provider Demographics
NPI:1891247490
Name:HEALING COMMUNITY ADULT CRE
Entity Type:Organization
Organization Name:HEALING COMMUNITY ADULT CRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:R
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-620-4225
Mailing Address - Street 1:55 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4342
Mailing Address - Country:US
Mailing Address - Phone:704-620-4225
Mailing Address - Fax:
Practice Address - Street 1:55 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4342
Practice Address - Country:US
Practice Address - Phone:704-620-4225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-30
Last Update Date:2016-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility