Provider Demographics
NPI:1497503932
Name:HEALING TO THRIVE EMDR, PLLC
Entity type:Organization
Organization Name:HEALING TO THRIVE EMDR, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:RACHAEL
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-266-5313
Mailing Address - Street 1:12394 SHARP RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-8920
Mailing Address - Country:US
Mailing Address - Phone:808-319-9974
Mailing Address - Fax:
Practice Address - Street 1:1128 S LINDEN RD STE 10
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3454
Practice Address - Country:US
Practice Address - Phone:248-266-5313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)