Provider Demographics
NPI:1912681859
Name:HEALING HANDS PREP, LLC
Entity Type:Organization
Organization Name:HEALING HANDS PREP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HIRSCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LMT
Authorized Official - Phone:301-395-5114
Mailing Address - Street 1:404 KING FARM BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6100
Mailing Address - Country:US
Mailing Address - Phone:240-242-9598
Mailing Address - Fax:
Practice Address - Street 1:404 KING FARM BLVD STE 140
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6100
Practice Address - Country:US
Practice Address - Phone:240-242-9598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center