Provider Demographics
NPI:1821821778
Name:HEALING TREE PSYCHIATRIC SERVICES
Entity type:Organization
Organization Name:HEALING TREE PSYCHIATRIC SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIFFONIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:513-767-7687
Mailing Address - Street 1:500 HARRISON LN
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:OH
Mailing Address - Zip Code:45244-2205
Mailing Address - Country:US
Mailing Address - Phone:513-767-7687
Mailing Address - Fax:
Practice Address - Street 1:500 HARRISON LN
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:OH
Practice Address - Zip Code:45244-2205
Practice Address - Country:US
Practice Address - Phone:513-767-7687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-24
Last Update Date:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty