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Organization
HEALING & RESTORATIVE THERAPIES INC
Active
Organization
HEALING & RESTORATIVE THERAPIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA FRASURE FNP-BC, PMHNP-BC (CHIEF OPERATING OFFICER)
(423) 833-3652
Entity
Organization
Contact information
Practice address
1735 W STATE OF FRANKLIN RD STE 5X270, JOHNSON CITY, TN 37604-6573
(423) 833-3652
Mailing address
1735 W STATE OF FRANKLIN RD, STE 5 PB 270, JOHNSON CITY, TN 37604
(423) 620-3390
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/25/2024
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