Organization
HOPE FOR HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY HOLMES LCSW (OWNER/MEMBER LLC)
(601) 303-0154
Entity
Organization
Contact information
Practice address
114 BALL AVE, TYLERTOWN, MS 39667-2102
(601) 303-0154
Mailing address
114 BALL AVE, TYLERTOWN, MS 39667-2102
(601) 303-0154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09536589
—
MS
05
—
200006950
—
MS
Enumeration date
06/17/2022
Last updated
03/15/2025
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