Healing Waters Counseling, LLC

Organization Active NPI Mental Health Counselor · East Ridge, TN

NPI 1942631635 · NPPES record last updated Dec 5, 2013

Key facts

NPI
1942631635
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
048009 (TN)
Legal business name
HEALING WATERS COUNSELING, LLC
Practice address
4320 Ringgold Rd
Suite One
East Ridge, TN 37412-2712
Phone
(423) 698-5090
Fax
(423) 698-5090
NPI assigned
Dec 5, 2013
Organization subpart
No

Authorized official

Name
Mr. Ted R Wilkes Jr.
Title
Owner
Phone
(423) 698-5090

National Provider Directory

Locations

4320 Ringgold Rd
Ste One
East Ridge, TN 37412
Phone (423) 698-5090

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X 048009 TN Yes

Addresses

Primary practice location

4320 Ringgold Rd
Suite One
East Ridge, TN 37412-2712

Mailing address

4320 Ringgold Rd
Suite One
East Ridge, TN 37412-2712
Phone (423) 698-5090

Other providers in East Ridge, TN

All providers in East Ridge, TN · Mental Health Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.