Provider Demographics
NPI:1891826236
Name:HEALING HANDS FAMILY CHIROPRACTIC INC
Entity type:Organization
Organization Name:HEALING HANDS FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:MONETTE
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-679-6343
Mailing Address - Street 1:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-0788
Mailing Address - Country:US
Mailing Address - Phone:501-679-6343
Mailing Address - Fax:501-679-6343
Practice Address - Street 1:8-D SOUTH BROADVIEW
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058
Practice Address - Country:US
Practice Address - Phone:501-679-6343
Practice Address - Fax:501-679-6343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F173OtherBLUE CROSS BLUE SHIELD
AR5F173Medicare ID - Type Unspecified