Provider Demographics
NPI:1982439766
Name:HEALING ONE MIND EVERYDAY NURSING CORPORATION
Entity type:Organization
Organization Name:HEALING ONE MIND EVERYDAY NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MACDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SELECON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:618-531-2053
Mailing Address - Street 1:1010 HELEN POWER DR # 1058
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-3504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:680 E COLORADO BLVD
Practice Address - Street 2:SUITE 180
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101
Practice Address - Country:US
Practice Address - Phone:707-285-0472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty