Organization
HEALING ROOM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GATES-MOORE LCSW (CO-OWNER)
(814) 599-4124
Entity
Organization
Contact information
Practice address
2023 CATO AVE, SUITE 101, STATE COLLEGE, PA 16801-2765
(814) 599-4124
Mailing address
2023 CATO AVE, SUITE 101, STATE COLLEGE, PA 16801-2765
(814) 599-4124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC006863
PA
1041C0700X
Clinical Social Worker
Primary
CW017193
PA
Other
Enumeration date
02/20/2015
Last updated
03/02/2015
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