Clinical Healing Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLINICAL HEALING CENTER LLC

Practice address

2 Crocker Blvd Ste 100
Mount Clemens, MI 48043-2558

Phone

(586) 318-4221

NPI assigned

May 24, 2023

Last updated

Dec 15, 2023By 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

Mr. Timothy Lee Weaver, LMSW, CAADCNPI 1730635731

Title

Clinician

Phone

(586) 318-4221

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Weaver

  • Social Worker
  • Mount Clemens, MI
  • NPI 1730635731

  Single Specialty

  Medicare reassignment NPD Authorized official
• Christopher Thomas Morehead, MA,LPC, CAADC

  • Mental Health Counselor
  • Mount Clemens, MI
  • NPI 1316390784
  Medicare reassignment

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1790477099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35181 PLEASANT FARM RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480624235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD STE 100",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432558",
            "telephone_number": "586-318-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "586-318-4221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Daniel Clark II, D.O.
• Jennifer M Claudio, O.D
• Sarah Elise Clayton, DO
• Brooklyn Marie Clifton
• Amanda Cline, DO
• Clinton Counseling Center
• Alissa Marie Clyne, FNP-BC
• Lauren Therese Cody, RD, IBCLC
• James Arthur Coleman
• Shelia Renee Collins, LLMSW

• Clinical Social Worker in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.