Provider Demographics
NPI:1487871778
Name:HEALING WITH CAARE, INC
Entity type:Organization
Organization Name:HEALING WITH CAARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SA OUPTATIENT TMT PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CCS, LOAO
Authorized Official - Phone:919-687-0795
Mailing Address - Street 1:214 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2404
Mailing Address - Country:US
Mailing Address - Phone:919-683-5300
Mailing Address - Fax:919-683-5306
Practice Address - Street 1:214 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2404
Practice Address - Country:US
Practice Address - Phone:919-683-5300
Practice Address - Fax:919-683-5306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL 032-297251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC590174Medicaid
NC6103369Medicaid
NC831284PMedicaid
NC8301284Medicaid
NC8301284GMedicaid
NC8301284QMedicaid