| Healing Waters Behavioral Health | |
|
102 W 18th St London KY 40741-1050 | |
| (606) 261-1722 | |
| Not Available |
| Full Name | Healing Waters Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 102 W 18th St, London, Kentucky |
| Authorized Official Name and Position | Christopher Bruce Ellison (OWNER) |
| Authorized Official Contact | 6062611722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Waters Behavioral Health 102 W 18th St London KY 40741-1050 Ph: (606) 261-1722 | Healing Waters Behavioral Health 102 W 18th St London KY 40741-1050 Ph: (606) 261-1722 |
| NPI Number | 1528917259 |
|---|---|
| Provider Enumeration Date | 01/26/2026 |
| Last Update Date | 01/26/2026 |
| Certification Date | 01/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528917259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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