Provider Demographics
NPI:1073409801
Name:THE HEALING THREAD LLC
Entity type:Organization
Organization Name:THE HEALING THREAD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAISA
Authorized Official - Middle Name:T
Authorized Official - Last Name:CARVALHO MICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMLP
Authorized Official - Phone:254-716-6569
Mailing Address - Street 1:213 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1626
Mailing Address - Country:US
Mailing Address - Phone:254-716-6569
Mailing Address - Fax:
Practice Address - Street 1:2703 HALL ST STE 15
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-1964
Practice Address - Country:US
Practice Address - Phone:254-716-6569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)