Provider Demographics
NPI:1871367730
Name:THE HEALING PROJECT OF MN LLC
Entity type:Organization
Organization Name:THE HEALING PROJECT OF MN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-778-3748
Mailing Address - Street 1:1400 VAN BUREN ST NE STE 200
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-3017
Mailing Address - Country:US
Mailing Address - Phone:612-778-4752
Mailing Address - Fax:612-520-5622
Practice Address - Street 1:1400 VAN BUREN ST NE STE 200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-3017
Practice Address - Country:US
Practice Address - Phone:612-778-4752
Practice Address - Fax:612-520-5622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management