# HEALING INSPIRED BEHAVIORAL SERVICES LLC

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

## Provider details

- **NPI number:** 1427878776
- **Authorized official:** MELONIE L CAMPBELL (OWNER)
- **Authorized official phone:** (262) 321-9297

## Contact information

- **Practice address:** 1945 PHILLIPS AVE, RACINE, WI 53403-2547
- **Practice address phone:** (262) 321-9297
- **Mailing address:** 1945 PHILLIPS AVE, RACINE, WI 53403-2547
- **Mailing address phone:** (262) 321-9297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024