Organization Active NPI

Healing Hands Wellness Clinic LLC

  • Health Service Clinic/Center
  • Memphis, TN
National Provider Identifier
1063930824
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HEALING HANDS WELLNESS CLINIC LLC
Practice address
4707 Woodridge Dr
Memphis, TN 38116-7811
Phone
(901) 808-5172
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Seandria F Evans
Title
Chief Executive Officer
Phone
(901) 808-5172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4707 Woodridge Dr
Memphis, TN 38116-7811

Mailing address

3194 Estes St
Memphis, TN 38115-2903

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1063930824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 ESTES ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 WOODRIDGE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167811",
            "telephone_number": "901-808-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SEANDRIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "901-808-5172",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.