Provider Demographics
NPI:1952704058
Name:THE HEALING CENTER LLC
Entity Type:Organization
Organization Name:THE HEALING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KELLOGG
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MA, LCPC
Authorized Official - Phone:847-382-2286
Mailing Address - Street 1:202 S COOK ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4369
Mailing Address - Country:US
Mailing Address - Phone:847-382-2286
Mailing Address - Fax:847-382-2288
Practice Address - Street 1:202 S COOK ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-4369
Practice Address - Country:US
Practice Address - Phone:847-382-2286
Practice Address - Fax:847-382-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty