Provider Demographics
NPI:1982816377
Name:HEALING WITHIN CHIROPRACTIC & WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:HEALING WITHIN CHIROPRACTIC & WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-862-5600
Mailing Address - Street 1:1 MILL ST
Mailing Address - Street 2:SUITE 175
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1530
Mailing Address - Country:US
Mailing Address - Phone:802-862-5600
Mailing Address - Fax:802-862-5600
Practice Address - Street 1:1 MILL ST
Practice Address - Street 2:SUITE 175
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1530
Practice Address - Country:US
Practice Address - Phone:802-862-5600
Practice Address - Fax:802-862-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty