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Organization
HEALING FOUNDATION LLC
Active
Organization
HEALING FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DEROIN (OWNER, EXECUTIVE DIRECTOR)
(918) 513-1564
Entity
Organization
Contact information
Practice address
5820 E KING PL, TULSA, OK 74115-6621
(918) 513-1564
Mailing address
PO BOX 150111, TULSA, OK 74115-0111
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/20/2026
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