Provider Demographics
NPI:1700679867
Name:THE HEALING HUMAN COLLECTIVE PLLC
Entity type:Organization
Organization Name:THE HEALING HUMAN COLLECTIVE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:CHANEL
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, DBH
Authorized Official - Phone:480-536-5008
Mailing Address - Street 1:1818 E SOUTHERN AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-5247
Mailing Address - Country:US
Mailing Address - Phone:480-536-5008
Mailing Address - Fax:
Practice Address - Street 1:1818 E SOUTHERN AVE STE 3A
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5247
Practice Address - Country:US
Practice Address - Phone:480-536-5008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty