CJ12 Holistic Healing Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CJ12 HOLISTIC HEALING CENTER

Practice address

11907 Stone Bluff Dr
Grand Ledge, MI 48837-2435

Phone

(517) 242-8895

NPI assigned

May 12, 2022

Last updated

May 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Terhaar

Title

Ceo

Phone

(517) 242-8895

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1154067007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11907 STONE BLUFF DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372435",
            "telephone_number": "517-242-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11907 STONE BLUFF DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372435",
            "telephone_number": "517-242-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ12 HOLISTIC HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "TERHAAR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-242-8895"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Behavioral Management PLLC
• Kaci Oda Chamberlin, R.PH.
• Ethan H Childs, DC
• Kimberly Kay Christensen, LPC
• CJ12 Corporation
• Todd Colby
• Colonial Park Adult Assisted Living
• Community Linx
• Complete Health Chiropractic, PC
• Jeffrey Scott Cook, DPT, OMPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.