A HEALING PLACE, LLC (NPI# 1275885881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275885881 |
| Entity Type | Organization |
| Organization Name | A HEALING PLACE, LLC |
| Practice Address |
207 1st St Jackson MI 49201-2102 |
| Mailing Address |
207 1st St. Jackson MI 49201 |
| Practice Telephone | 5174254547 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | RACHEL FLOWERS (C.F.O./OWNER) |
| Authorized Official Telephone | 5174254547 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301010931 | MI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301010931 | MI | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
6301010931 | MI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 6801090038 | MI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 6801090474 | MI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801090038 | MI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801090474 | MI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 6301010931 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801424262 | A Healing Place, LLC | Clinic/Center | 1400 High St, Eugene, OR 97401-4192 | 2020-03-31 |
| 1629267968 | A Healing Place, LLC | Social Worker | 7050 Oakland Mills Rd, Suite 140, Columbia, MD 21046-2193 | 2007-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | A Healing Place, LLC | 8005 Railroad Spring Dr., Pueblo, CO 81004 |
| Street Address |
207 1ST ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705482 | Amanda Joyce Bolanowski | Social Worker | 207 1st St, Jackson, MI 49201-2102 | 2020-09-18 |
| 1376156596 | Jennifer Marcia White | Counselor | 207 1st St, Jackson, MI 49201-2102 | 2020-08-27 |
| 1023621448 | Carlos Alfredo Larios | Counselor | 207 1st St, Jackson, MI 49201-2102 | 2020-08-25 |
| 1386269322 | Patricia J Huff | Counselor | 207 1st St, Jackson, MI 49201-2102 | 2020-06-16 |
| 1255997003 | Cynthia Sue Latka | Counselor | 207 1st St, Jackson, MI 49201-2102 | 2019-05-17 |
| 1851856256 | Joshua Jacob Smith | Counselor | 207 1st St, Jackson, MI 49201-2102 | 2019-02-10 |
| 1184126047 | Whitney Claire Stoner | Social Worker | 207 1st St, Jackson, MI 49201-2102 | 2018-03-06 |
| 1467965566 | Janelle E Staviski | Social Worker | 207 1st St, Jackson, MI 49201-2102 | 2017-11-10 |
| 1295267110 | Elana Freeman Greenberg | Social Worker | 207 1st St, Jackson, MI 49201-2102 | 2017-03-30 |
| 1629493929 | Joi Rencher | Social Worker | 207 1st St, Jackson, MI 49201-2102 | 2014-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792169 | Snake River Consulting LLC | Psychologist | 430 Pine Dr, Jackson, WY 83001-8417 | 2019-01-02 |
| 1972834604 | Sue C Radtke | Psychologist | 4476 Bittersweet Ct, Jackson, WI 53037-9754 | 2010-01-20 |
| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
| 1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
| 1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.