Provider Demographics
NPI:1376430835
Name:HEALING WITHIN HOLISTIC HEALTH SERVICES
Entity type:Organization
Organization Name:HEALING WITHIN HOLISTIC HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ELLISON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-430-6022
Mailing Address - Street 1:1415 W NC HIGHWAY 54 STE 123
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5578
Mailing Address - Country:US
Mailing Address - Phone:919-430-6022
Mailing Address - Fax:984-250-7043
Practice Address - Street 1:1415 W NC HIGHWAY 54 STE 123
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5578
Practice Address - Country:US
Practice Address - Phone:919-430-6022
Practice Address - Fax:984-250-7043
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALING WITHIN HOLISTIC HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty