Provider Demographics
NPI:1427515063
Name:INNER HEALING COUNSELING LLC.
Entity type:Organization
Organization Name:INNER HEALING COUNSELING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED COUNSELOR/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TOBEA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-886-8040
Mailing Address - Street 1:253 SHADOW CT SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35824-2524
Mailing Address - Country:US
Mailing Address - Phone:334-221-3362
Mailing Address - Fax:
Practice Address - Street 1:464 BASS CIR NW STE F
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5405
Practice Address - Country:US
Practice Address - Phone:256-886-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty