| Healing Alliance LLC | |
|
402 N Babcock St Melbourne FL 32935-7346 | |
| (321) 343-6821 | |
| Not Available |
| Full Name | Healing Alliance LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 402 N Babcock St, Melbourne, Florida |
| Authorized Official Name and Position | Ingrid Pinto De Otazu (OWNER/LMHC) |
| Authorized Official Contact | 3213436821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Alliance LLC 751 Ashbury Ave Melbourne FL 32940-6426 Ph: (321) 343-6821 | Healing Alliance LLC 402 N Babcock St Melbourne FL 32935-7346 Ph: (321) 343-6821 |
| NPI Number | 1053063735 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053063735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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