Provider Demographics
NPI:1912556390
Name:HEALTHY HEALING COUNSELING SERVICESN LLC
Entity Type:Organization
Organization Name:HEALTHY HEALING COUNSELING SERVICESN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:248-206-0695
Mailing Address - Street 1:30777 NORTHWESTERN HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2592
Mailing Address - Country:US
Mailing Address - Phone:248-206-0695
Mailing Address - Fax:
Practice Address - Street 1:30777 NORTHWESTERN HWY STE 102
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2592
Practice Address - Country:US
Practice Address - Phone:248-206-0695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty