# HEALING OUR VILLAGE OF MARYLAND, INC.

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

## Provider details

- **NPI number:** 1699188367
- **Authorized official:** DR. LENORE COLEMAN PHARMD (PRESIDENT)
- **Authorized official phone:** (703) 795-1983

## Contact information

- **Practice address:** 177 N MAIN ST, JONESBORO, GA 30236-3567
- **Practice address phone:** (800) 788-0941
- **Mailing address:** 405 BENJAMIN CIR, FAYETTEVILLE, GA 30214-3346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/10/2014
- **Last updated:** 06/09/2025