Organization
HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC
Active
Parent organization
HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC
Authorized official
JUDITH WALLER (C.O.O.)
(813) 754-5555
Entity
Organization
Contact information
Practice address
901 INDUSTRIAL DR STE 200, WILDWOOD, FL 34785-4707
(813) 754-5555
(813) 754-5552
Mailing address
1001 E BAKER ST STE 100, PLANT CITY, FL 33563-3700
(813) 754-5555
(813) 754-5552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326311085
NPI NUMBER FOR CORPORATE OFFICE
FL
Enumeration date
05/16/2019
Last updated
05/16/2019
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