Organization
HEALING SANDS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L TRENTA LCSW (OWNER)
(812) 345-5321
Entity
Organization
Contact information
Practice address
2680 E MAIN ST, PLAINFIELD, IN 46168-2825
(812) 345-5321
Mailing address
4980 W GIFFORD RD, BLOOMINGTON, IN 47403-9266
(812) 345-5321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004881A
IN
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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