Provider Demographics
NPI:1447000211
Name:HEALING 2 WHOLENESS COUNSELING LLC
Entity type:Organization
Organization Name:HEALING 2 WHOLENESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWENER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERNEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:678-328-8919
Mailing Address - Street 1:2310 GLENEAGLE TRCE NW
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3304
Mailing Address - Country:US
Mailing Address - Phone:678-328-8919
Mailing Address - Fax:
Practice Address - Street 1:2310 GLENEAGLE TRCE NW
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3304
Practice Address - Country:US
Practice Address - Phone:678-328-8919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health