Provider Demographics
NPI:1831956309
Name:REFINED HEALING
Entity type:Organization
Organization Name:REFINED HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:937-402-8724
Mailing Address - Street 1:2569 SR 726 N
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320
Mailing Address - Country:US
Mailing Address - Phone:937-402-8724
Mailing Address - Fax:
Practice Address - Street 1:2569 STATE ROUTE 726 N
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-9217
Practice Address - Country:US
Practice Address - Phone:937-402-8724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty