Provider Demographics
NPI:1225876170
Name:NURTURED HEALING, LLC
Entity type:Organization
Organization Name:NURTURED HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAELAH
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:KNARR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:417-441-2780
Mailing Address - Street 1:14459 HIGHWAY AA
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:MO
Mailing Address - Zip Code:65444-8645
Mailing Address - Country:US
Mailing Address - Phone:417-217-5683
Mailing Address - Fax:
Practice Address - Street 1:14459 HIGHWAY AA
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:MO
Practice Address - Zip Code:65444-8645
Practice Address - Country:US
Practice Address - Phone:417-217-5683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty