# HEALING SPIRITS THERAPEUTIC VILLAGE LLC

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

## Provider details

- **NPI number:** 1316559008
- **Authorized official:** MICHELLE JOHNSON (BILLER)
- **Authorized official phone:** (419) 689-6495

## Contact information

- **Practice address:** 911 ROBINWOOD AVE STE D, WHITEHALL, OH 43213-1783
- **Practice address phone:** (614) 805-0930
- **Mailing address:** 911 ROBINWOOD AVE STE D, WHITEHALL, OH 43213-1783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2020
- **Last updated:** 08/23/2020