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Organization
HEALING SPIRITS THERAPEUTIC CENTER
Active
Organization
HEALING SPIRITS THERAPEUTIC CENTER
Active
Other names
Healing Spirits Therapeutic Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LADON JARRELL LPC (LICENSED PROFESSIONAL COUNSELOR)
(276) 733-7072
Entity
Organization
Contact information
Practice address
1178 ROAD CREEK FORD RD, DUGSPUR, VA 24325-3796
(276) 733-7072
Mailing address
1178 ROAD CREEK FORD RD, DUGSPUR, VA 24325-3796
(276) 733-7072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/02/2023
Last updated
12/04/2023
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