Provider Demographics
NPI:1942570809
Name:HEALING INC
Entity Type:Organization
Organization Name:HEALING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-681-8194
Mailing Address - Street 1:12367 E LINCOLN CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-7005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12367 E LINCOLN CT
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-7005
Practice Address - Country:US
Practice Address - Phone:316-681-8194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS16481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty