Deep Healing Llc
LBN: Deep Healing Llc
Deep Healing Llc is an health care organization with primary practice located at 1841 N Prospect Ave , Milwaukee WI 53202-1933. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Deep Healing Llc can be contacted via phone (414) 678-1558, or through Witkowiak, Ashly Marie via phone (414) 899-0793.
Contact Information
Primary practice address
1841 N Prospect Ave
Milwaukee WI 53202-1933
Phone: (414) 678-1558
Fax:
Website:
Authorized official contact:
Name: Witkowiak, Ashly Marie Licensed Clinical Social Worker (LCSW)
Phone: (414) 899-0793
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1700443744 |
|---|---|
| LBN Legal business name | Deep Healing Llc |
| DBA Doing business as | |
| Authorized official | Witkowiak, Ashly Marie Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2019 |
| Last updated | May 24th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700443744 | NPPES |
| Wisconsin | MEDICAID | 1041C0700X | |
| Wisconsin | MEDICAID | 1041S0200X |
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