Provider Demographics
NPI:1386324739
Name:INNER HEALING THERAPY, LLC
Entity type:Organization
Organization Name:INNER HEALING THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:QINWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:402-805-5801
Mailing Address - Street 1:959 COPSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2363
Mailing Address - Country:US
Mailing Address - Phone:402-805-5801
Mailing Address - Fax:
Practice Address - Street 1:2600 BOYCE PLAZA RD STE 116
Practice Address - Street 2:
Practice Address - City:UPPER ST CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-4005
Practice Address - Country:US
Practice Address - Phone:402-805-5801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty