Provider Demographics
NPI:1730572777
Name:HEALING PLACE COUNSELING PLLC
Entity type:Organization
Organization Name:HEALING PLACE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILBURN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:231-288-6591
Mailing Address - Street 1:800 E ELLIS RD STE 111
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-5622
Mailing Address - Country:US
Mailing Address - Phone:231-288-6591
Mailing Address - Fax:231-354-3517
Practice Address - Street 1:800 E ELLIS RD STE 111
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-5622
Practice Address - Country:US
Practice Address - Phone:231-288-6591
Practice Address - Fax:231-354-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty