Organization
HEART FOR HEALING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LIBBY (THERAPIST)
(336) 422-6699
Entity
Organization
Contact information
Practice address
521 E CENTER ST APT C, LEXINGTON, NC 27292-4179
(336) 422-6699
(917) 970-9572
Mailing address
521 E CENTER ST APT C, LEXINGTON, NC 27292-4179
(336) 422-6699
(917) 970-9572
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235765504
—
NC
Enumeration date
06/19/2024
Last updated
06/19/2024
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