Provider Demographics
NPI:1982327524
Name:HEALING CONNECTIONS
Entity Type:Organization
Organization Name:HEALING CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:JEDLIKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:727-204-8477
Mailing Address - Street 1:8666 BEECHMONT AVE # 1019
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4710
Mailing Address - Country:US
Mailing Address - Phone:513-549-6855
Mailing Address - Fax:
Practice Address - Street 1:4711 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45217-1234
Practice Address - Country:US
Practice Address - Phone:513-549-6855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)