Provider Demographics
NPI:1023881240
Name:H.E.A.L. HELPING EVERYONE ACHIEVE LIFE SKILLS COMMUNITY CENTER
Entity type:Organization
Organization Name:H.E.A.L. HELPING EVERYONE ACHIEVE LIFE SKILLS COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WILKIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS-A
Authorized Official - Phone:252-312-0516
Mailing Address - Street 1:PO BOX 1614
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27906-1614
Mailing Address - Country:US
Mailing Address - Phone:252-312-0516
Mailing Address - Fax:252-404-9136
Practice Address - Street 1:400 S ROAD ST STE D1
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4900
Practice Address - Country:US
Practice Address - Phone:252-333-8445
Practice Address - Fax:252-404-9136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty