Provider Demographics
NPI:1215331608
Name:HEALING SOLUTIONS WELLNESS CENTER
Entity type:Organization
Organization Name:HEALING SOLUTIONS WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:PALUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-542-7211
Mailing Address - Street 1:848 HIRAM ACWORTH HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2286
Mailing Address - Country:US
Mailing Address - Phone:678-542-7211
Mailing Address - Fax:
Practice Address - Street 1:848 HIRAM ACWORTH HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2286
Practice Address - Country:US
Practice Address - Phone:678-542-7211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health