Provider Demographics
NPI:1649721564
Name:HEALING ENERGIES LLC
Entity type:Organization
Organization Name:HEALING ENERGIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:VERONICA
Authorized Official - Last Name:FABIAN-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP
Authorized Official - Phone:360-339-4050
Mailing Address - Street 1:502 S STILL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3578
Mailing Address - Country:US
Mailing Address - Phone:360-339-4050
Mailing Address - Fax:360-350-6999
Practice Address - Street 1:502 S STILL RD STE 101
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3578
Practice Address - Country:US
Practice Address - Phone:360-339-4050
Practice Address - Fax:360-350-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60694692171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty