Provider Demographics
NPI:1114509056
Name:HEALING CONTINUALLY
Entity type:Organization
Organization Name:HEALING CONTINUALLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GWELO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC MSN
Authorized Official - Phone:214-335-9784
Mailing Address - Street 1:2538 E UNIVERSITY DR STE 280
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85034-6947
Mailing Address - Country:US
Mailing Address - Phone:214-335-9784
Mailing Address - Fax:
Practice Address - Street 1:4613 W ORANGE AVE
Practice Address - Street 2:
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85128-8250
Practice Address - Country:US
Practice Address - Phone:214-335-9784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty