| Healing Our Trauma, LLC | |
|
12401 E 43rd St S Ste 221 Independence MO 64055-5961 | |
| (816) 200-7909 | |
| Not Available |
| Full Name | Healing Our Trauma, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12401 E 43rd St S Ste 221, Independence, Missouri |
| Authorized Official Name and Position | Nadirah a Habeebullah (OWNER) |
| Authorized Official Contact | 8167282188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Our Trauma, LLC 10604 E 57th Ter Raytown MO 64133-3306 Ph: (816) 728-2188 | Healing Our Trauma, LLC 12401 E 43rd St S Ste 221 Independence MO 64055-5961 Ph: (816) 200-7909 |
| NPI Number | 1497528178 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497528178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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