Provider Demographics
NPI:1447010236
Name:I AM HEALING THERAPY AND WELLNESS CONSULTING PLLC
Entity type:Organization
Organization Name:I AM HEALING THERAPY AND WELLNESS CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-859-7852
Mailing Address - Street 1:PO BOX 854
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48805-0854
Mailing Address - Country:US
Mailing Address - Phone:517-927-7117
Mailing Address - Fax:517-258-2951
Practice Address - Street 1:1795 CEDAR ST STE K
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1865
Practice Address - Country:US
Practice Address - Phone:517-927-7117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty