# HEALING WATERS BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1528917259
- **Authorized official:** MR. CHRISTOPHER BRUCE ELLISON LCSW (OWNER)
- **Authorized official phone:** (606) 261-1722

## Contact information

- **Practice address:** 102 W 18TH ST, LONDON, KY 40741-1050
- **Practice address phone:** (606) 261-1722
- **Mailing address:** 102 W 18TH ST, LONDON, KY 40741-1050
- **Mailing address phone:** (606) 261-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2026
- **Last updated:** 01/26/2026