Provider Demographics
NPI:1649059650
Name:HEALING HARVEST COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:HEALING HARVEST COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:256-695-0553
Mailing Address - Street 1:3331 RAINBOW DR
Mailing Address - Street 2:STE E # 525
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906
Mailing Address - Country:US
Mailing Address - Phone:256-695-0553
Mailing Address - Fax:256-208-9818
Practice Address - Street 1:204 E GRAND AVE
Practice Address - Street 2:STE E
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906
Practice Address - Country:US
Practice Address - Phone:256-695-0553
Practice Address - Fax:256-208-9818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty