Healing Spirit Counseling Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH7879 Issued in FL

Legal business name

HEALING SPIRIT COUNSELING CENTER, LLC

Practice address

4609 US Highway 17 Ste 1
Fleming Island, FL 32003-4818

Phone

(904) 214-5109

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Kathleen Edwards, RD, LMHC, CIC

Title

Ceo

Phone

(904) 214-5109

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1477908853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MARSH HAWK LANE 305",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 US HIGHWAY 17 STE 1",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034818",
            "telephone_number": "904-214-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SPIRIT COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-214-5109",
        "authorized_official_credential": "RD, LMHC, CIC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH7879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Louise Hartin, CNM
• Janis Haskins
• Meg L Hastings, O.T.R.
• Rakilah M Hayes
• Gabrielle Hayward
• Health Wisdom Inc
• Jacob Andrew Heislman, PMHNP-BC
• Julia Anne Heizmann, M.D.
• Renee S Hellen, LMHC
• Help 4 U 2, Inc

• Community/Behavioral Health Agency in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.