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Organization
THE HEALING GIRL
Active
Organization
THE HEALING GIRL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA REID (ADMINISTRATOR)
(313) 768-8613
Entity
Organization
Contact information
Practice address
17325 MACK AVE, DETROIT, MI 48224-2250
(313) 768-8613
Mailing address
17325 MACK AVE, DETROIT, MI 48224-2250
(313) 768-8613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NULL
Other
Enumeration date
10/18/2021
Last updated
11/16/2021
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