| Healing Road Llc | |
|
1403 Tanager Dr Warsaw IN 46580-2054 | |
| (574) 377-9857 | |
| Not Available |
| Full Name | Healing Road Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1403 Tanager Dr, Warsaw, Indiana |
| Authorized Official Name and Position | Daniel Cervantes (OWNER) |
| Authorized Official Contact | 5743779857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Road Llc 1403 Tanager Dr Warsaw IN 46580-2054 Ph: (574) 377-9857 | Healing Road Llc 1403 Tanager Dr Warsaw IN 46580-2054 Ph: (574) 377-9857 |
| NPI Number | 1497451751 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497451751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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