# HEALING CENTER COMMUNITY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124963947
- **Authorized official:** KHALIYAH MARSHALL (OWNER)
- **Authorized official phone:** (701) 540-1191

## Contact information

- **Practice address:** 536 45TH ST S APT 202, FARGO, ND 58103-0903
- **Practice address phone:** (701) 540-1191
- **Mailing address:** 536 45TH ST S APT 202, FARGO, ND 58103-0903
- **Mailing address phone:** (701) 540-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 163WR0400X | Rehabilitation Registered Nurse | — | NULL | — |
| 163WR0400X | Rehabilitation Registered Nurse | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 04/20/2026
- **Last updated:** 06/04/2026