Organization
HEALTHY HEALING LLC
Active
Other names
Healthy Healing LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DENISE NICKENS NP (CEO)
(440) 601-9247
Entity
Organization
Contact information
Practice address
30841 EUCLID AVE STE 103, WILLOUGHBY, OH 44094-3100
(440) 601-9247
Mailing address
2222 DETROIT AVE APT 410, CLEVELAND, OH 44113-2455
(440) 601-9247
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223866
—
OH
Enumeration date
09/08/2022
Last updated
08/10/2024
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