Healing Alliance LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007006 Issued in IL

Legal business name

HEALING ALLIANCE LLC

Practice address

1718 8TH Ave
Moline, IL 61265-2118

Phone

(309) 502-9167

Fax

(844) 800-4542

NPI assigned

Jul 31, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Karla White, LCPC

Title

Owner

Phone

(309) 368-6505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469923200000",
    "number": "1558814160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 8TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652118",
            "telephone_number": "309-502-9167",
            "fax_number": "844-800-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 8TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652118",
            "telephone_number": "309-502-9167",
            "fax_number": "844-800-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-31",
        "last_updated": "2016-07-31",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-368-6505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Moline, IL
• Providers in Moline, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.