Organization
THE HEALING SPOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY WILLIAMS LCSW (OWNER)
(706) 563-7231
Entity
Organization
Contact information
Practice address
15124 BARNES EDGE CT, WOODBRIDGE, VA 22193-3189
(703) 574-6014
Mailing address
14497 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-6807
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184078545
SOCIAL WORKER
—
Enumeration date
09/19/2022
Last updated
09/19/2022
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