Provider Demographics
NPI:1982254504
Name:HEALING BRIDGES, LLC
Entity Type:Organization
Organization Name:HEALING BRIDGES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYRN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:317-319-4273
Mailing Address - Street 1:8465 KEYSTONE XING STE 266
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-2592
Mailing Address - Country:US
Mailing Address - Phone:317-986-4956
Mailing Address - Fax:317-452-8821
Practice Address - Street 1:8465 KEYSTONE XING STE 266
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-2592
Practice Address - Country:US
Practice Address - Phone:317-986-4956
Practice Address - Fax:317-452-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty