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Organization
HEALED AND EDUCATED
Active
Organization
HEALED AND EDUCATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMISHA JOHNSON LCSW-A (OWNER)
(910) 336-2293
Entity
Organization
Contact information
Practice address
1030 N ROGERS LANE STE 121 PMB 2061, RALEIGH, NC 27610
(910) 336-2293
Mailing address
1030 N ROGERS LANE STE 121 PMB 2061, RALEIGH, NC 27610
(910) 336-2293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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