Provider Demographics
NPI:1780408237
Name:HEALING PLACE OF SUPPORTING PARTNERSHIPS
Entity type:Organization
Organization Name:HEALING PLACE OF SUPPORTING PARTNERSHIPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,LISW
Authorized Official - Phone:419-215-8853
Mailing Address - Street 1:5679 MONROE ST UNIT 501
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2714
Mailing Address - Country:US
Mailing Address - Phone:419-215-8853
Mailing Address - Fax:
Practice Address - Street 1:5679 MONROE ST UNIT 501
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2714
Practice Address - Country:US
Practice Address - Phone:419-215-8853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management