Provider Demographics
NPI:1396496196
Name:THERAPEUTIC HEALING ALLIANCE, LLC
Entity type:Organization
Organization Name:THERAPEUTIC HEALING ALLIANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, LPC
Authorized Official - Phone:912-429-3591
Mailing Address - Street 1:1481 DEAN FOREST RD
Mailing Address - Street 2:BUILDING 200, SUITE A
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-9342
Mailing Address - Country:US
Mailing Address - Phone:912-429-3591
Mailing Address - Fax:912-712-3526
Practice Address - Street 1:1481 DEAN FOREST RD
Practice Address - Street 2:BUILDING 200, SUITE A
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-9342
Practice Address - Country:US
Practice Address - Phone:912-429-3591
Practice Address - Fax:912-712-3526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty