Provider Demographics
NPI:1306335922
Name:HEALING SOLUTIONS TRANSITIONAL LIVING SERVICES
Entity type:Organization
Organization Name:HEALING SOLUTIONS TRANSITIONAL LIVING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:317-340-8184
Mailing Address - Street 1:1800 N MERIDIAN ST STE 202A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1443
Mailing Address - Country:US
Mailing Address - Phone:317-340-8184
Mailing Address - Fax:
Practice Address - Street 1:2029 GALESTON DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-2040
Practice Address - Country:US
Practice Address - Phone:317-340-8184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALING SOLUTIONS COUNSELING SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health