HEALING WATERS COUNSELING (NPI# 1245766807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245766807 |
| Entity Type | Organization |
| Organization Name | HEALING WATERS COUNSELING |
| Practice Address |
130 S Indian River Dr Suite 202 Fort Pierce FL 34950-4343 |
| Practice Telephone | 7724975427 |
| Practice Fax Number | 7722454259 |
| Mailing Telephone | 7724975427 |
| Mailing Fax Number | 7722454259 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | PHYLLIS MCCOLISTER (CEO) |
| Authorized Official Telephone | 7724975427 |
| Authorized Official Credential | MS, LMHC, CAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH14456 | FL | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Healing Waters Counseling Center LLC | 1113 Cedar Valley Dr, Cedar Bluff, Virginia 24609 |
| Street Address |
130 S INDIAN RIVER DR SUITE 202 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174796296 | John Anthony Tallarido | Social Worker | 130 S Indian River Dr, Suite 202, Fort Pierce, FL 34950-4343 | 2008-04-09 |
| 1417498973 | Inspiring Hope Counseling Services, LLC | Counselor | 130 S Indian River Dr, 202, Fort Pierce, FL 34950-4343 | 2017-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629447313 | Oh Marketing Services Dba Beachside Rehab | Community/Behavioral Health | 4005 N A1a Ste 123, Fort Pierce, FL 34949-8524 | 2015-09-23 |
| 1942546551 | Pattra Farthing Dodd | Community/Behavioral Health | 1901 S 25th St, Suite 103, Fort Pierce, FL 34947-4711 | 2012-12-31 |
| 1699029017 | Suncoast Mental Helath | Community/Behavioral Health | 2814 South U.s Highway 1, Suite D4, Fort Pierce, FL 34982 | 2012-11-07 |
| 1720265275 | Another Chance Corporation | Community/Behavioral Health | 3501 Avenue K, Fort Pierce, FL 34947-2307 | 2008-01-28 |
| 1700066073 | Divine Hands of Care, Inc | Community/Behavioral Health | 4140 Worlington Ter, Fort Pierce, FL 34947-1335 | 2007-11-05 |
| 1861689135 | Cfsatc Inc | Community/Behavioral Health | 1302 N Lawnwood Cir Ste B, Fort Pierce, FL 34950-4884 | 2007-10-01 |
| 1487724050 | Children's Home Society of Florida | Community/Behavioral Health | 4520 Selvitz Rd, Fort Pierce, FL 34981-4801 | 2006-11-09 |
| 1164823589 | Rebecca Dorothy Rudoff | Community/Behavioral Health | 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110 | 2014-09-05 |
| 1457793721 | New Horizons of The Treasure Coast, Inc | Community/Behavioral Health | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2013-07-26 |
| 1861732851 | Morning Glory House of Love | Community/Behavioral Health | 120 Maple Ave, Same, Fort Pierce, FL 34982-3431 | 2013-02-27 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.