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Organization

HEALING HOOVES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA E GLENN LICSW (OWNER)
(256) 318-6300
Entity
Organization

Contact information

Practice address
67 GARY ANDERS RD, HARTSELLE, AL 35640-7307
(256) 318-6300
Mailing address
67 GARY ANDERS RD, HARTSELLE, AL 35640-7307
(256) 318-6300

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4242C
AL LICSW LICENSE
AL
Enumeration date
07/24/2022
Last updated
07/24/2022
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