Healing Waters Family Enrichment Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

HEALING WATERS FAMILY ENRICHMENT CENTER

Practice address

4312 N 76TH St
4
Milwaukee, WI 53222-2043

Phone

(414) 499-8463

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Kelly Danielle Coleman

Title

Owner

Phone

(414) 499-8463

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1376996777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 N 76TH ST",
            "address_2": "APT A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222043",
            "telephone_number": "414-499-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 N 76TH ST",
            "address_2": "4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222043",
            "telephone_number": "414-499-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS FAMILY ENRICHMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-499-8463"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Headway
• Nicole Heafner, MD
• Healing Center of Milwaukee
• Healing for All Supportive Care LLC
• Healing Stone Counseling
• Health & Home Prenatal Care Coordinator
• Health Asset Management, MD S.C.
• Health Care for the Homeless Milwaukee Inc
• Health Dynamics, LLC
• Health Payment Systems, Inc.

• Early Intervention Provider Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Early Intervention Provider Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.