Provider Demographics
NPI:1023723236
Name:THE HEALING TOUCH COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:THE HEALING TOUCH COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:229-231-4833
Mailing Address - Street 1:4072 MULLIGAN RD
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31605-7820
Mailing Address - Country:US
Mailing Address - Phone:229-356-7190
Mailing Address - Fax:
Practice Address - Street 1:4072 MULLIGAN RD
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31605-7820
Practice Address - Country:US
Practice Address - Phone:229-356-7190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health