Provider Demographics
NPI:1215323282
Name:HEALING HANDS INC
Entity type:Organization
Organization Name:HEALING HANDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIDINGSFELDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:228-864-9200
Mailing Address - Street 1:19009 PINEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:MS
Mailing Address - Zip Code:39560-4540
Mailing Address - Country:US
Mailing Address - Phone:228-864-9200
Mailing Address - Fax:228-864-9222
Practice Address - Street 1:19009 PINEVILLE RD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:MS
Practice Address - Zip Code:39560-4540
Practice Address - Country:US
Practice Address - Phone:228-864-9200
Practice Address - Fax:228-864-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1141111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03137540Medicaid
MS302I355776OtherMEDICARE PTAN