Provider Demographics
NPI:1588265672
Name:THE HEALING LOFT
Entity type:Organization
Organization Name:THE HEALING LOFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MESHA
Authorized Official - Middle Name:LASHON
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-591-2584
Mailing Address - Street 1:2205 GRAYTON RD
Mailing Address - Street 2:
Mailing Address - City:OHATCHEE
Mailing Address - State:AL
Mailing Address - Zip Code:36271-6759
Mailing Address - Country:US
Mailing Address - Phone:256-591-2584
Mailing Address - Fax:256-270-2777
Practice Address - Street 1:423 S 4TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5258
Practice Address - Country:US
Practice Address - Phone:256-212-0084
Practice Address - Fax:256-270-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty