Provider Demographics
NPI:1932905106
Name:THE HEALING CIRCLE RELATIONSHIP WELLNESS CENTER
Entity type:Organization
Organization Name:THE HEALING CIRCLE RELATIONSHIP WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEKETIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:501-420-2926
Mailing Address - Street 1:3511 S APPLE ST
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-4744
Mailing Address - Country:US
Mailing Address - Phone:501-420-2926
Mailing Address - Fax:
Practice Address - Street 1:3511 S APPLE ST
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-4744
Practice Address - Country:US
Practice Address - Phone:501-420-2926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)