HEALING HANDS RESOURCE CENTER (NPI# 1699216689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699216689 |
| Entity Type | Organization |
| Organization Name | HEALING HANDS RESOURCE CENTER |
| Other Organization Name | HEALING HANDS RESOURCE CENTER PRINCETON |
| Practice Address |
500 Elm Pl Ste 3 Princeton IL 61356-1421 |
| Mailing Address |
1022 N Kedzie Ave Chicago IL 60651-4128 |
| Practice Telephone | 7734676967 |
| Practice Fax Number | 7735729553 |
| Mailing Telephone | 7734676967 |
| Mailing Fax Number | 7735729553 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | DR. VALENCIA GREEN (CEO) |
| Authorized Official Telephone | 7734676967 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALING HANDS RESOURCE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| healing hands resource center princeton | Doing Business As Name - Organization |
| Healing Hands Resource Center Princeton | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
| 1730620642 | Healing Hands Resource Center | Clinic/Center | 400 River Oaks Dr, Calumet City, IL 60409-5832 | 2017-03-10 |
| 1639476922 | Healing Hands Resource Center | Counselor | 1022 N Kedzie Ave, Chicago, IL 60651-4128 | 2011-02-22 |
| 1790938249 | Healing Hands Resource Center | Clinic/Center | 3143 W Douglas Blvd, Chicago, IL 60623-1816 | 2008-10-28 |
| 1629681093 | Healing Hands Resource Center | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-26 |
| 1306463492 | Healing Hands Resource Center | Family Medicine | 4550 W 103rd St Ste 302, Oak Lawn, IL 60453-4868 | 2020-07-06 |
| Street Address |
500 ELM PL STE 3 |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853097 | Arukah Institute of Healing Inc Nfp | Clinic/Center | 5 N Dallas St, Princeton, IL 61356-1830 | 2019-04-05 |
| 1043869654 | Blossom Wellness, LLC | Clinic/Center | 358 Wall St, Princeton, NJ 08540-1517 | 2019-09-06 |
| 1386298370 | Alroy-thiberge Psychotherapy LLC | Clinic/Center | 601 Ewing St Ste C14, Princeton, NJ 08540-2759 | 2019-07-28 |
| 1942772389 | Talilevinllc | Clinic/Center | 177 Meadowbrook Dr, Princeton, NJ 08540-3664 | 2018-12-26 |
| 1851804058 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 530 Park Ave E Ste 206b, Princeton, IL 61356-3902 | 2017-11-09 |
| 1639600034 | Gateway Services, Inc | Clinic/Center | 526 S Bureau Valley Pkwy, Suite B, Princeton, IL 61356-2046 | 2017-03-27 |
| 1659794873 | Barbara J. Korzun, Psy.d. LLC | Clinic/Center | 103 Carnegie Ctr, Suite 300, Princeton, NJ 08540-6235 | 2014-01-23 |
| 1457635534 | Plainsboro Behavioral Health, LLC | Clinic/Center | 116 Village Blvd, Suite 200, Princeton, NJ 08540-5700 | 2011-10-06 |
| 1346476868 | Behavior Therapy Center | Clinic/Center | 601 Ewing St, Suite C-6, Princeton, NJ 08540-2757 | 2009-06-10 |
| 1669696589 | New Hope Psychiatric Associates, PC | Clinic/Center | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2007-04-12 |
| Find all providers in PRINCETON | ||||
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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.