# HEALING BY CREATIVE DESIGN, INC

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

## Provider details

- **NPI number:** 1154204618
- **Authorized official:** MR. PAUL AUDIN HENRY (PRESIDENT AND EXECUTIVE DIRECTOR)
- **Authorized official phone:** (305) 610-2045

## Contact information

- **Practice address:** 1616 HUNTINGTON ST, LAKELAND, FL 33801-5936
- **Practice address phone:** (813) 708-9810
- **Mailing address:** 4798 S FLORIDA AVE \# 171, LAKELAND, FL 33813-2181
- **Mailing address phone:** (813) 708-9810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2025
- **Last updated:** 07/30/2025