Organization
HEALING CENTER COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIYAH MARSHALL (OWNER)
(701) 540-1191
Entity
Organization
Contact information
Practice address
536 45TH ST S APT 202, FARGO, ND 58103-0903
(701) 540-1191
Mailing address
536 45TH ST S APT 202, FARGO, ND 58103-0903
(701) 540-1191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
163WR0400X
Rehabilitation Registered Nurse
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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