Provider Demographics
NPI:1962910562
Name:HEALING THERAPY CENTER PLLC
Entity type:Organization
Organization Name:HEALING THERAPY CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAHLIA
Authorized Official - Middle Name:BESS
Authorized Official - Last Name:MICHELS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW 12141
Authorized Official - Phone:305-519-9565
Mailing Address - Street 1:HEALING THERAPY
Mailing Address - Street 2:9820 CORONADO LAKE DRIVE
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437
Mailing Address - Country:US
Mailing Address - Phone:305-519-9565
Mailing Address - Fax:561-491-7471
Practice Address - Street 1:HEALING THERAPY
Practice Address - Street 2:1919 NE 45TH STREET , SUITE 225
Practice Address - City:FT. LAUDERALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:305-419-9565
Practice Address - Fax:561-491-7471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty