Provider Demographics
NPI:1922730282
Name:HEALING HEARTS AND HEALING MINDS WELLNESS CORP.
Entity Type:Organization
Organization Name:HEALING HEARTS AND HEALING MINDS WELLNESS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY MANAGER AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHANTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-418-6120
Mailing Address - Street 1:1501 N DECKER AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-3903
Mailing Address - Country:US
Mailing Address - Phone:443-418-6120
Mailing Address - Fax:
Practice Address - Street 1:1501 N DECKER AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-3903
Practice Address - Country:US
Practice Address - Phone:443-418-6120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No174200000XOther Service ProvidersMeals
No251S00000XAgenciesCommunity/Behavioral Health
No347C00000XTransportation ServicesPrivate Vehicle