Active NPI
Arc of Healing Therapy Services
- Clinical Social Worker
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ARC OF HEALING THERAPY SERVICES
- Practice address
- 4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640 - Phone
- (225) 512-4669
- Fax
- (833) 222-8840
- NPI assigned
- Apr 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Khrishandalyn Rationne Hicks, LCSW-BACS
- Title
- Owner
- Phone
- (337) 577-0937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640
Mailing address
4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640
Phone (225) 512-4669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4875 S Sherwood Forest Blvd
Ste D1
Baton Rouge, LA 70816
Phone (225) 217-2898
3040 Teddy Dr
Ste A1
Baton Rouge, LA 70809
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Gonzales, LA
- NPI 1821464546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1194413096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4875 S SHERWOOD FOREST BLVD STE D1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164640",
"telephone_number": "225-512-4669",
"fax_number": "833-222-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 S SHERWOOD FOREST BLVD STE D1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164640",
"telephone_number": "225-512-4669",
"fax_number": "833-222-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARC OF HEALING THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-27",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "KHRISHANDALYN",
"authorized_official_middle_name": "RATIONNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-577-0937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW-BACS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.