Provider Demographics
NPI:1184446247
Name:HEALING CONTINUALLY CENTER LLC
Entity type:Organization
Organization Name:HEALING CONTINUALLY CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GWELO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:214-335-9784
Mailing Address - Street 1:8050 S POINTE PKWY W APT 1056
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5419
Mailing Address - Country:US
Mailing Address - Phone:214-335-9784
Mailing Address - Fax:970-695-7751
Practice Address - Street 1:2538 E UNIVERSITY DR STE 280
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-6947
Practice Address - Country:US
Practice Address - Phone:214-335-9784
Practice Address - Fax:970-695-7751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty