Organization
HEALING SPIRITS THERAPEUTIC CENTER
Active
Other names
Healing Spirits Therapeutic Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LADON JARRELL LPC (LICENSED PROFESSIONAL COUNSELOR)
(276) 733-7072
Entity
Organization
Contact information
Practice address
1178 ROAD CREEK FORD RD, DUGSPUR, VA 24325-3796
(276) 733-7072
Mailing address
1178 ROAD CREEK FORD RD, DUGSPUR, VA 24325-3796
(276) 733-7072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/02/2023
Last updated
12/04/2023
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